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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1984108 <br /> Western Gravel, Inc. Receipt#: 22720 <br /> Judy DeVincentis Date: 01/04/2017 <br /> 3001 N. Townsend Ave. <br /> Permit: M1984108 <br /> Montrose CO 814010000 <br /> Payment Method Revenue Code Fee Description/Paid By Other Entity/Notes Amount <br /> Check#21318 4300-MAFO Minerals Annual Fees $323.00 <br /> Due 12/14/16 <br /> Receipt Total: $323.00 <br /> Page 1 of 1 <br />