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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2002049 <br />Rio Blanco County <br />Receipt #: 19565 <br />Date: 05/20/2015 <br />Permit: M2002049 <br />Payment Method Revenue Code Fee Description/Notes Amount <br />142917 msr <br />4300-MAFO <br />Minerals Annual Fees <br />$323.00 <br />M2002-049 <br />Receipt Total: $323.00 <br />Page 1 of 1 <br />