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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2004078 <br />Receipt #: <br />Date: <br />7107 <br />City & County of Denver acting by & thru Bd c <br />Permit: <br />73046349 14300-11 1 Minerals Technical Revision <br />M- 2004 -078, Paid By Lafarge North America <br />12/03/2009 <br />M2004078 <br />$216.00 <br />Receipt Total: $216.00 <br />Page 1 of 1 <br />