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Rio Blanco County <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1999040 <br />111111111 <br />Receipt #: 19563 <br />Date: 05/20/2015 <br />Permit: M1999040 <br />Receipt Total: 1 $323.00 <br />Page 1 of 1 <br />142917 msr <br />4300-MAFO <br />Minerals Annual Fees <br />M 1999-040 <br />$323.00 <br />Receipt Total: 1 $323.00 <br />Page 1 of 1 <br />