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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2009074 <br />Colorado Backhoe Service <br />000000000 <br />Receipt #: 20548 <br />Date: 11/09/2015 <br />Permit: M2009074 <br />Payment Method Revenue Code <br />Fee Description/Notes Amount <br />5157 msr <br />4300-MAM D <br />Minerals Amendment Fees <br />M2009-074 <br />$323.00 <br />Receipt Total: <br />$323.00 <br />Page 1 of 1 <br />