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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2001085 <br />Adams County RV Park, LLC DBA 124th Estat. <br />Erica Schultejann <br />P.O. Box 1161 <br />Commerce City CO 800220000 <br />Receipt #: <br />Date: <br />Permit: <br />3634 <br />07/25/2008 <br />M2001085 <br /> <br />1445 4300-01 Minerals Annual Fees <br />M-2001-085 $791.00 <br /> Receipt Total: $791.00 <br />Page 1 of 1