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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1978268 <br /> Ouray County Receipt#: 22092 <br /> Chris Miller Date: 08/30/2016 <br /> P.O. Box 456 <br /> Permit: M1978268 <br /> Ridgway CO 814320000 <br /> Payment Method Revenue Code Fee Description/Notes Amount <br /> Check#43758 4300-MAFO Minerals Annual Fees $791.00 <br /> 2015 <br /> Receipt Total: $791.00 <br /> Page 1 of 1 <br />