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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1978071 <br /> Rio Grande County Receipt#: 22574 <br /> Patrick Sullivan Date: 11/28/2016 <br /> 168 N. Washington <br /> Permit: M1978071 <br /> Monte Vista CO 811440000 <br /> UU <br /> Check#146224 4300-MAFO Minerals Annual Fees $791.00 <br /> 2016 <br /> Receipt Total: $791.00 <br /> Page 1 of 1 <br />