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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1978162 <br /> Morgan County Receipt#: 21728 <br /> John Goodman Date: 06/27/2016 <br /> 17303 CR S <br /> Permit: M1978162 <br /> Fort Morgan CO 807010000 <br /> MethodPayment Revenue Code Fee Description/Notes Amount <br /> Check#1106713 4300-MAFO Minerals Annual Fees $791.00 <br /> Receipt Total: $791.00 <br /> Page 1 of 1 <br />