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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1978162 <br /> Morgan County Receipt#: 23674 <br /> John Goodman Date: 06/19/2017 <br /> 17303 CR S Permit: M1978162 <br /> Fort Morgan CO 807010000 <br /> ii. <br /> 'x II 1 � 33:;' °.t. °'r`:i-{*3'f, '",o*}LS `& atv„',� rk, Y• •;c.,:.�yy.;;.47 ��:r.'. pw_ j' �. . <br /> Check#1107186 4300-MAFO Minerals Annual Fees $791.00 <br /> User.- sdt <br /> Due 6/29/17 <br /> Receipt Total: $791.00 <br /> Page 1 of 1 <br />