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Larimer County, Road & Bridge Dept. <br />000000000 <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1977425 <br />Receipt #: 14803 <br />Date: 03/15/2013 <br />Permit: M1977425 <br />Payment Method <br />Revenue Code <br />Fe <br />Description /Notes <br />Ai <br />ount <br />330422 jwd <br />4300 -01 <br />Minerals Annual Fees <br />M- 1977 -425 <br />$791.00 <br />Receipt Total: I $791.00 <br />Page 1 of 1 <br />