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Forest Lakes Metro District <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1981158 <br />Receipt #: 18907 <br />Date: 01/30/2015 <br />Permit: M1981158 <br />Method Payment <br />Revenue Code <br />022964 msr <br />4300 -MAFO <br />Minerals Annual Fees <br />M1981 -158 <br />$323.00 <br />Receipt Total: <br />$323.00 <br />Page 1 of 1 <br />