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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1979002 <br /> 01 <br /> City of Delta Receipt#: 22504 <br /> Tony Bohling Date: 11/14/2016 <br /> 360 Main Street <br /> Permit: M1979002 <br /> Delta CO 814160000 <br /> Check#94469 4300-MAFO Minerals Annual Fees $791.00 <br /> Due 11/15/16 <br /> Receipt Total: $791.00 <br /> Page 1 of 1 <br />