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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1977283 <br />Adams County <br />000000000 <br />Receipt #: 20751 <br />Date: 12/24/2015 <br />Permit: M 1977283 <br />Payment Method <br />Revenue Code <br />Fee Description/Notes <br />Amount <br />686901 SDT <br />4300-MAFO <br />Minerals Annual Fees <br />M1988-283 <br />$791.00 <br />Receipt Total: $791.00 <br />Page 1 of 1 <br />