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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1985031 <br /> Montezuma County Receipt#: 21419 <br /> Rob Englehart Date: 05/04/2016 <br /> 1680 North Dolores Road <br /> Permit: M1985031 <br /> Cortez CO 813210000 <br /> Payment Method Revenue Code Fee Description/Notes Amount <br /> Check#29203 4300-MAFO Minerals Annual Fees $791.00 <br /> Receipt Total: $791.00 <br /> Page 1 of 1 <br />