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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1983139 <br />City of Arvada <br />000000000 <br />348469 SMS 1 4300 -01 1 Minerals Annual Fees <br />M1983 -139 <br />Receipt #: <br />Date: <br />Permit <br />17455 <br />05/19/2014 <br />M1983139 <br />$791.00 <br />Receipt Total: 1 $791.00 <br />Page 1 of 1 <br />