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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1991O97 <br />Ouray County <br />000000000 <br />43135 SDT 14300-MAFO I Minerals Annual Fees <br />M1991-097 <br />Receipt #: <br />Date: <br />Permit: <br />20443 <br />10/19/2015 <br />M1991097 <br />$791.00 <br />Receipt Total: 1 $791.00 <br />Page 1 of 1 <br />