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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1979O89 <br /> Grand Junction Pipe & Supply Co. Receipt#: 21922 <br /> Russell Larsen Date: 08/02/2016 <br /> 556 Struthers Ave. <br /> Permit: M1979089 <br /> Grand Junction CO 815013826 <br /> Payment • • Revenue Code • • • Amount <br /> Check#151405 4300-MAFO Minerals Annual Fees $791.00 <br /> 2016 <br /> Receipt Total: $791.00 <br /> Page 1 of 1 <br />