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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1995046 <br /> Rio Blanco County Receipt#: 22343 <br /> David Morlan Date: 10/14/2016 <br /> 570 2nd St. <br /> Permit: M1995046 <br /> Meeker CO 816410000 <br /> MethodPayment Revenue Code • • • Amount <br /> Check#146618 4300-MAFO Minerals Annual Fees $791.00 <br /> 2016 <br /> Receipt Total: $791 00 <br /> Page 1 of 1 <br />