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Douglas County Sand & Gravel, LLC <br />000000000 <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1983089 <br />Receipt #: 12016 <br />Date: 01/03/2012 <br />Permit: M1983089 <br />Payment Method Revenue Code <br />Fee Description /Notes Amount <br />2799 <br />4300 -01 <br />Minerals Annual Fees <br />M- 1983 -089, Paid By Castle Rock Rock, Inc. <br />$791.00 <br />Receipt Total: I $791.00 <br />Page 1 of 1 <br />