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Ouray County <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for MI 991097 <br />000000000 <br />Receipt #: 20443 <br />Date: 10/19/2015 <br />Permit: M1991097 <br />1?ayment Method <br />�. Revenue Coded <br />Fee DescriptionlNote <br />"Amount <br />Minerals Annual Fees <br />M1991-097 <br />Receipt Total: $791.00 <br />Page 1 of 1 <br />