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Division of Reclamation, Mining,'and Safety <br />i <br />Fee Receipt for M2009027 <br />Walsenburg Sand and Gravel Company �} <br />1 <br />I <br />000000000 <br />Receipt #: 19355 <br />Date: 04/16/2015 <br />Permit: M2009027 <br />Payment Method <br />Revenue Code <br />Fee Description /Notes <br />Amount <br />�i <br />Minerals Annual Fees <br />00• <br />Receipt Total: 1 $791.00 <br />Page 1 of 1 <br />