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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1977425 <br />Larimer County <br />Receipt #: <br />Date: <br />Permit: <br />5210 <br />03/25/2009 <br />M1977425 <br />000000000 <br />265689 I 4300-01 I Minerals Annual Fees <br />M-1977-425 <br />$791.00 <br />Receipt Total: $791.00 <br />Page 1 of 1