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Central City Consolidated Mng <br />000000000 <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1990041 <br />Receipt #: 11246 <br />Date: 08/25/2011 <br />Permit: M1990041 <br />Payment Method Revenue Code <br />Fee Description /Notes Amount <br />1203 <br />4300 -01 <br />Minerals Annual Fees <br />M- 1990 -041, Paid By George E. Otten /Joanne D. Otten <br />$259.00 <br />Receipt Total: I $259.00 <br />Page 1 of 1 <br />