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Grand Junction Concrete Pipe Co. <br />000000000 <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2009048 <br />Receipt #: 13804 <br />Date: 09/28/2012 <br />Permit: M2009048 <br />t l� ad.. ;R <br />:yF <br />Ct <br />npt <br />6932 <br />4300 -01 <br />Minerals Annual Fees <br />M- 2009 -048, CMB <br />$791.00 <br />Receipt Total: 1 $791.00 <br />Page 1 of 1 <br />