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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1980120 <br />Weld County <br />Receipt #: <br />Date: <br />Permit: <br />6029 <br />07/09/2009 <br />M1980120 <br />000000000 <br />004277 14300-11 1 Minerals Technical Revision <br />M-1980-120, Paid By Groundwater Management Subdistrict,of <br />Central Colorado Water Conservancy Dist. <br />$216.00 <br />Receipt Total: $216.00 <br />Page 1 of 1