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COLORADO <br /> w _/ Division of Water Resources <br /> ® Department of Natural Resources RECEIPT <br /> 1313 SHERMAN ST,STE 821 <br /> DENVER,CO.80203 <br /> Date: 9/14/2022 9:51:04 AM Cashier: 75220 <br /> Order Number: 19409 <br /> Transaction Number: 25890 <br /> CESARE, INC <br /> Accounting Department <br /> 7108 S.ALTON WAY BLDG. B <br /> CENTENNIAL, CO. 80112 <br /> Application/Receipt Quantity Description Price Extended Price <br /> 10024234 1 Monitoring/Observation Well Permit(New or Existing Well $100.00 $100.00 <br /> Permit)-Outside DesB (Legacy Code: 25) <br /> 10024235 1 Monitoring/Observation Well Permit(New or Existing Well $100.00 $100.00 <br /> Permit)-Outside DesB(Legacy Code: 25) <br /> 10024236 1 Monitoring/Observation Well Permit(New or Existing Well $100.00 $100.00 <br /> Permit)-Outside DesB (Legacy Code: 25) <br /> 10024237 1 Monitoring/Observation Well Permit(New or Existing Well $100.00 $100.00 <br /> Permit)-Outside DesB (Legacy Code: 25) <br /> 10024238 1 Monitoring/Observation Well Permit(New or Existing Well $100.00 $100.00 <br /> Permit)-Outside DesB (Legacy Code: 25) <br /> Subtotal: $500.00 <br /> Service Fee: $12.02 <br /> Total: $512.02 <br /> (Credit Card)Tendered: $512.02 <br /> ['9207] <br /> Change: $0.00 <br /> Monitoring/Observation Well Please allow 4-6 weeks for the processing of your application. Check the status of your <br /> Permit(New or Existing Well application using the Application/Receipt number(not order number)at: <br /> Permit)-Outside DesB (Legacy https://dwr.state.co.us/tools/Wel[Permits <br /> Code: 25) <br /> OF'�Ol <br /> �ti O? <br /> 1313 Sherman Street,Room 821,Denver,CO 80203 P 303.866.3581 www.colorado.gov/water V) 'rtl o <br /> Jared S.Polis,Governor I Dan Gibbs,Executive Director i Kevin G.Rein,State Engineer/Director f <br /> '�1876 <br />