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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M2011042 <br /> Yuma County Receipt#: 22193 <br /> Don Marr Date: 09/20/2016 <br /> 1310 S. Blake St. Permit: M2011042 <br /> Wray CO 807580000 <br /> MethodPayment Revenue Code • . . Amount <br /> Check#63431 4300-MAFO Minerals Annual Fees $791.00 <br /> Due 10/24/16 <br /> Receipt Total: $791.00 <br /> Page 1 of 1 <br />