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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2000092 <br />City of Walsenburg <br />000000000 <br />Receipt #: 20692 <br />Date: 12/14/2015 <br />Permit: M2000092 <br />Payment Method Revenue Code <br />Fee Description/NotesAmount <br />111669 SDT <br />4300-MAFO <br />Minerals Annual Fees <br />M2000-092 <br />$323.00 <br />Receipt Total: <br />$323.00 <br />Page 1 of 1 <br />