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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2017025 <br />815050000COGrand Junction <br />2273 River Road <br />Pete Siegmund <br />Receipt #: <br />06/15/2017 <br />23663 <br />Date: <br />M2017025Permit: <br />Oldcastle Southwest Group, Inc. dba United C <br />Fee Description/NotesRevenue CodePayment Method Amount <br />Check #1345 $898.004300-MAPP Minerals Application Fees <br />User: sdt <br />Payer: Old Castle SW Group, Inc. <br />$898.00Receipt Total: <br />Page 1 of 1