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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1981004 <br /> Dilleys Sand 8•Gravel Receipt#: 22852 <br /> Gwen Dilley Date: 01/30/2017 <br /> 1914 Edmunds St P0 Box 125 Permit: M1981004 <br /> Brush CO 807230000 <br /> Payment Method Revenue Code Fee Description/Paid By Other Entity/Notes Amount <br /> Check#48963 4300-MAFO Minerals Annual Fees $323.00 <br /> Dilley Sand and Gravel Excavating Contractor <br /> Due 02/02/17 <br /> Receipt Total: $323.00 <br /> Page 1 of 1 <br />