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Dolores County <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1984155 <br />UI�I�I�I�I�I�I�I�I <br />Receipt #: 20255 <br />Date: 09/16/2015 <br />Permit: M1984155 <br />Payment Method <br />Revue Co <br />Description/Notes <br />A <br />• <br />08 1 <br />Minerals Annual Fees <br />1984-155 <br />Receipt Total: 1 $791.00 <br />Page 1 of 1 <br />