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Montrose County <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1987151 <br />KIIIIIIZi11 I <br />00389893 SDT 14300-MAFO I Minerals Annual Fees <br />M1987-151 <br />Receipt #: <br />Date: <br />Permit: <br />20387 <br />10/07/2015 <br />M1987151 <br />$323.00 <br />Receipt Total: $323.00 <br />Page 1 of 1 <br />