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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M2006039 <br /> Chevron Shale Oil Company, a division of ChE Receipt#: 21797 <br /> Julie Justus Date: 07/11/2016 <br /> 760 Horizon Drive Suite 412 <br /> Permit: M2006039 <br /> Grand Junction CO 815060000 <br /> MethodPayment Revenue Code • 29/Notes Amount <br /> Check#002564& 4300-MTRO Minerals Technical Revision $216.00 <br /> TR01 <br /> Receipt Total: $216.00 <br /> Page 1 of 1 <br />