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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1987186 <br /> Weld County Receipt#: 21065 <br /> Date: 03/01/2016 <br /> Permit: M1987186 <br /> 000000000 <br /> MethodPayment Revenue Code Fee Description/Notes Amount <br /> 3311192 SDT 4300-MAFO Minerals Annual Fees $791.00 <br /> M1987-186 <br /> Receipt Total: $791.00 <br /> Page 1 of 1 <br />