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Forest Lakes Metro District <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1981158 <br />1111111// <br />Receipt #: 20237 <br />Date: 09/14/2015 <br />Permit: M1981158 <br />payment MethocC __ even, % ode ee Description/Notes &gjj&L Amount <br />023257 SDT <br />4300-MTRO <br />Minerals Technical Revision $216.00 <br />M1981-158 <br />Receipt Total: $216.00 <br />Page 1 of 1 <br />