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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1990025 <br />Montezuma County <br />000000000 <br />28206 msr 1 4300 -MAFO I Minerals Annual Fees <br />M 1990 -025 <br />Receipt #: <br />Date: <br />Permit: <br />19383 <br />04/22/2015 <br />M1990025 <br />$791.00 <br />Receipt Total: 1 $791.00 <br />Page 1 of 1 <br />