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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2017019 <br />The Walsenburg Sand and Gravel Company <br />Louis Vezzani <br />P.O. Drawer 352 <br />Walsenburg CO 810890000 <br />Receipt #: <br />Date: <br />Permit: <br />23489 <br />05/17/2017 <br />M2017019 <br />Page 1 of 1 <br />Check #220815 <br />4300-MAPP <br />Minerals Application Fees <br />$898.00 <br />User: MSR <br />Payer: Walsenburg Sand & Gravel Company, Inc. <br />new 111 application <br />Receipt Total: <br />$898.00 <br />Page 1 of 1 <br />