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The Walsenburg Sand and Gravel Company <br />000000000 <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2009027 <br />Receipt #: 14993 <br />Date: 04/12/2013 <br />Permit: M2009027 <br />Payment Method <br />Revenue Code Fee Description /Notes Amount <br />221012 jwd <br />4300 -01 <br />Minerals Annual Fees <br />M- 2009 -027 <br />$323.00 <br />Receipt Total: I $323.00 <br />Page 1 of 1 <br />