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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2007014 <br />Larsen Colorado, L.L.C. <br />Receipt #: <br />Date: <br />Permit: <br />9477 <br />12/02/2010 <br />M2007014 <br />000000000 <br />40278 4300-01 Minerals Annual Fees <br />M-2007-014, Paid By High Country Pipeline Contractors, Inc. <br />$791.00 <br />Receipt Total <br />L <br />$791.00 <br />Page 1 of 1