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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1981158 <br />Forest Lakes Metro District <br />000000000 <br />19998-mr1 1 4300-01 <br />Minerals Annual Fees <br />M-1981-158 <br />Receipt #: <br />Date: <br />Permit: <br />4873 <br />02/06/2009 <br />M1981158 <br />$323.00 <br />Receipt Total: $323.00 <br />Page 1 of 1