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Delta County <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1978172 <br />108510 jwd 4300 -01 1 Minerals Annual Fees <br />M- 1978 -172 <br />Receipt # <br />Date <br />Permit: <br />16121 <br />10/08/2013 <br />M1978172 <br />$791.00 <br />Receipt Total: 1 $791.00 <br />Page 1 of 1 <br />