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City of Golden <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1977534 <br />585938 msr 1 4300 -MAFO I Minerals Annual Fees <br />M 1977 -534 <br />Receipt #: <br />18810 <br />Date: <br />01/14/2015 <br />Permit: <br />M1977534 <br />$791.00 <br />Receipt Total: 1 $791.00 <br />Page 1 of 1 <br />