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City of Cripple Creek <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1993039 <br />[�I�I�AId�AI�A] <br />Receipt #: 19934 <br />Date: 07/21/2015 <br />Permit: M1993039 <br />Payment Method <br />Revenue Code <br />Fee Description/Notes <br />Amount <br />A <br />Minerals Annual Fees' <br />• <br />Receipt Total: 1 $791.00 <br />Page 1 of 1 <br />