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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1981085 <br /> N Colo Water Conservancy Dist. Receipt#: 21750 <br /> Jim Struble Date: 06/30/2016 <br /> 220 Water Avenue <br /> Permit: M1981085 <br /> Berthoud CO 805130000 <br /> Payment • • Revenue Code • • • Amount <br /> Check#13587 4300-MAFO Minerals Annual Fees $791.00 <br /> Receipt Total: $791.00 <br /> Page 1 of 1 <br />