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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for MI977534 <br /> City of Golden Receipt#: 23089 <br /> Dan Hartman Date: 03/13/2017 <br /> Director of Public Works <br /> 911 Tenth St. <br /> Permit: M1977534 <br /> Golden CO 804010000 <br /> Check#596685 4300-MAFO Minerals Annual Fees $791.00 <br /> Due 01/30/17 <br /> Receipt Total: $791.00 <br /> Page 1 of 1 <br />