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r <br />i <br />I <br />i <br />i <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for, M2011005 <br />Montrose County <br />i <br />$ me] <br />1 <br />00387242 msr 4300 -MAFO Minerals Annual Fees i <br />i <br />M2011 -005 t <br />{ <br />Receipt #: <br />19480 <br />Date: <br />05/01/2015 <br />Permit: <br />M2011005 <br />$791.00 <br />Receipt Total: 1 $791.00 <br />Page 1 of 1 <br />