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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1995010 <br /> Dolores County Receipt#: 23012 <br /> Michael Davis Date: 02/28/2017 <br /> P.O. Box 608 <br /> Permit: M1995010 <br /> Dove Creek CO 813240000 <br /> • • • • * ! <br /> Check#502515 4300-MAFO Minerals Annual Fees $323.00 <br /> Dolores County Board of Commissioners <br /> Due 03/24/17 <br /> Receipt Total: $323.00 <br /> Page 1 of 1 <br />