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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1974092 <br /> Dorn Ready Mix Corp. Receipt#: 22320 <br /> Doug Dowling Date: 10/12/2016 <br /> 19671 Rd R 7 <br /> P.O. Box 636 Permit: M1974092 <br /> Fort Morgan CO 807010000 <br /> Vill <br /> il�Jill: <br /> Check#003643 4300-MAFO Minerals Annual Fees $791.00 <br /> 2016 <br /> Receipt Total: $791.00 <br /> Page 1 of 1 <br />