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Cripple Creek & Victor Gold <br />000000000 <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1980244 <br />Receipt #: 14211 <br />Date: 12/04/2012 <br />Permit: M1980244 <br />Payment Method Revenue Code <br />Fee Description /Notes <br />Amount <br />00516045 <br />4300 -11 <br />Minerals Technical Revision <br />M- 1980 -244, TR -66, CMB <br />$1,006.00 <br />Receipt Total: I $1,006.00 <br />Page 1 of 1 <br />