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Division of Reclamation, Mining, and Safety <br />Fee Receipt for Minerals <br />Steve Monell <br />1955 Buck Drive <br />Ft. Collins CO 805240000 <br />Cash 4400 Mineral Copies e-19A? <br />M-1977- <br />361, M-1985-212, _$0 <br />Receipt #: <br />Date: <br />Permit: <br />9732 <br />01/14/2011 <br />Minerals <br />$15.00 <br />Receipt Total: $15.00 <br />Page 1 of 1