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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1977136 <br /> Rio Blanco County Receipt#: 20955 <br /> Date: 02/11/2016 <br /> Permit: M1977136 <br /> 000000000 <br /> MethodPayment Revenue Code <br /> 144922 SDT 4300-MAFO Minerals Annual Fees $791.00 <br /> M 1977-136 <br /> Receipt Total: $791.00 <br /> Page 1 of 1 <br />