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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M2004038 <br /> Rio Blanco County Receipt#: 22751 <br /> David Morlan Date: 01/10/2017 <br /> 570 2nd St. <br /> Permit: M2004038 <br /> Meeker CO 816410000 <br /> Payment Method Revenue Code Fee Description/Paid By Other Entity/Notes Amount <br /> Check#147235 4300-MAFO Minerals Annual Fees $323.00 <br /> Due 01/07/17 <br /> Receipt Total: $323.00 <br /> Page 1 of 1 <br />