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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2001107 <br />Northern Colorado Constructors, Inc. Aggreg< <br />Chris Zadel <br />9075 WCR 10 <br />Fort Lupton CO 806210000 <br />Check #67301 1 4300-MAFO I Minerals Annual Fees <br />2017 <br />Receipt #: <br />Date: <br />Permit: <br />22831 <br />01/24/2017 <br />M2001107 <br />$791.00 <br />Receipt Total: 1 $791.00 <br />Page 1 of 1 <br />