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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1977393 <br /> City of Boulder Receipt#: 21484 <br /> Kelly Wasserbach Date: 05/17/2016 <br /> P.O. Box 791 <br /> Permit: M1977393 <br /> Boulder CO 803060000 <br /> Payment Method Revenue Code Fee Description/Notes Amount <br /> Check#0102215: 4300-MAFO Minerals Annual Fees $791.00 <br /> Receipt Total: $791.00 <br /> Page 1 of 1 <br />