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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1983089 <br />Douglas County Sand & Gravel, LLC <br />3219 msr 14300-01 1 Minerals Annual Fees <br />M1983 -089 paid by Castle Rock Rock, Inc. <br />Receipt #: <br />Date: <br />Permit: <br />16621 <br />01/02/2014 <br />M1983089 <br />$791.00 <br />Receipt Total: $791.00 <br />Page 1 of 1 <br />