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Rio Blanco County <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2001077 <br />IIIIIIIIf <br />Receipt #: 20082 <br />Date: 08/13/2015 <br />Permit: M2001077 <br />Receipt Total: 1 $791.00 <br />Page 1 of 1 <br />143682 SDT 4300-MAFO Minerals Annual Fees <br />M2001-077 <br />791.00 <br />Receipt Total: 1 $791.00 <br />Page 1 of 1