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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2001085 <br />Adams County RV Park, LLC dba 124th Estate <br />000000000 <br />1340 14300-01 I Minerals Annual Fees <br />M-2001-085, Balance Due <br />Receipt #: <br />Date: <br />Permit: <br />1201 <br />08/14/2007 <br />M2001085 <br />$103.00 <br />03.00 <br />Page 1 of 1 <br />