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N Colo Water Conservancy Dist <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1981086 <br />218654 14300-01 1 Minerals Annual Fees <br />M- 1981 -086, CMB <br />Receipt #: <br />Date: <br />Permit: <br />13350 <br />07/19/2012 <br />M1981086 <br />$791.00 <br />Receipt Total: 1 $791.00 <br />Page 1 of 1 <br />