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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1980149 <br />Weld County <br />Receipt # <br />Date <br />7666 <br />03/03/2010 <br />M1980149 <br />Permit: <br />000000000 <br />3250404 14300-01 1 Minerals Annual Fees <br />M-1980-149 <br />$791.00 <br />Receipt Total: $791.00 <br />Page 1 of 1