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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1977184 <br />City of Fort Collins <br />000000000 <br />Receipt #: 3685 <br />Date: 08/01/2008 <br />Permit: M1977184 <br />[Pcyw0)M woom , <br />Q - 100 ( ?C? ,? _ GQ 3 <br />11 &ODMOiR <br />333818 4300-01 Minerals Annual Fees <br />M-1977-184 $791.00 <br /> <br /> <br />Receipt Total: I <br />$791.00 <br />Page 1 of 1