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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1978283 <br />Walsenburg Sand & Gravel Co., Inc. <br />000000000 <br />Receipt #: <br />Date: <br />Permit: <br />17333 <br />05/01/2014 <br />M1978283 <br />'Method Payment <br />Revenue Code <br />220639 SMS <br />4300 -11 <br />Minerals Technical Revision <br />M1978 -283 <br />$216.00 <br />Receipt Total: <br />$216.00 <br />Page 1 of 1 <br />