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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2004067 <br />Clear Creek District Water Providers, L.L.C. <br />Receipt #: <br />Date: <br />Permit: <br />4969 <br />02/19/2009 <br />M2004067 <br />000000000 <br />2153-mr1 4300-01 Minerals Annual Fees <br />M-2004-067, fees paid by Bromley District Water Providers <br />$791.00 <br />Receipt Total: $791.00 <br />Page 1 of 1