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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1978283 <br />Walsenburg Sand & Gravel Co., Inc. <br />000000000 <br />220647 SMS 1 4300 -MTRO I Minerals Technical Revision <br />M 1978 -283 <br />Receipt # <br />Date <br />Permit: <br />17901 <br />07/28/2014 <br />M1978283 <br />$216.00 <br />Receipt Total: 1 $216.00 <br />Page 1 of 1 <br />