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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1983216 <br /> Mesa County Receipt#: 22659 <br /> Stacey Mascarenas Date: 12/13/2016 <br /> P.O. Box 20000-5025 <br /> Permit: M1983216 <br /> Grand Junction CO 815020000 <br /> Payment Method Revenue Code Fee Description/Paid By Other Entity/Notes Amount <br /> Check#261819 4300-MAFO Minerals Annual Fees $323.00 <br /> Due 06/11/16-Fee Only Rec'd. <br /> Receipt Total: $323.00 <br /> Page 1 of 1 <br />