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r -- <br />Camp Bird Colorado, Inc. <br />Ar(w <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1982090 <br />000000000 <br />J <br />Receipt #: 11828 <br />Date: 11/21/2011 <br />Permit: M1982090 <br />Payment Method Revenue Code Fee Description /Notes Amount <br />4561 -mr1 <br />4300 -01 <br />Minerals Annual Fees <br />M- 1982 -090 <br />$633.00 <br />Receipt Total: I $633.00 <br />Page 1 of 1 <br />