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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2009062 <br />Weld County <br />000000000 <br />Receipt #: <br />Date: <br />Permit: <br />18709 <br />12/29/2014 <br />M2009062 <br />Method ftPent <br />Revenue Code <br />3299624 msr <br />4300 -MAFO <br />Minerals Annual Fees <br />M2009 -062 <br />$791.00 <br />Receipt Total: <br />$791.00 <br />Page 1 of 1 <br />