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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1991O97 <br />Ouray County <br />000000000 <br />41740 jwd 4300 -01 1 Minerals Annual Fees <br />M- 1991 -097 <br />Receipt # <br />Date <br />Permit <br />16278 <br />10/30/2013 <br />M1991097 <br />$791.00 <br />Receipt Total: 1 $791.00 <br />Page 1 of 1 <br />