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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1995010 <br />Dolores County <br />000000000 <br />Receipt #: 21008 <br />Date: 02/24/2016 <br />Permit: M1995010 <br />Payment Method <br />Revenue Codi <br />Fee Description/Notes <br />Amount <br />501991 SDT <br />4300-MAFO <br />Minerals Annual Fees <br />$323.00 <br />M1995-010 <br />Receipt Total: <br />$323.00 <br />Page 1 of 1 <br />