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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2001107 <br />Receipt # <br />Date <br />5713 <br />Northern Colorado Constructors, Inc. <br />Permit: <br />000000000 <br />40986 14300-11 1 Minerals Technical Revision <br />M-2001-107 <br />05/27/2009 <br />M2001107 <br />$216.00 <br />Receipt Total: $216.00 <br />Page 1 of 1