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Division of Reclamation, Mining, and Safety <br />rCity of Golden <br />Fee Receipt for M1977534 <br />000000000 <br />Receipt #: 9613 <br />Date: 12/28/2010 <br />Permit: M1977534 <br />567477 <br />4300-01 <br />Minerals Annual Fees <br />M-1977-534 <br />$791.00 <br />Receipt Total: $791.00 <br />Page 1 of 1