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Forest Lakes Metro District <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1981158 <br />0022526 msr 14300-01 1 Minerals Annual Fees <br />M1981 -158 <br />Receipt #: <br />Date: <br />Permit: <br />16710 <br />01/21/2014 <br />M1981158 <br />$323.00 <br />Receipt Total: 1 $323.00 <br />Page 1 of 1 <br />