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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1984155 <br /> Dolores County Receipt#: 24083 <br /> Michael Davis Date: 08/25/2017 <br /> P.O. Box 608 <br /> Permit: M1984155 <br /> Dove Creek CO 813240000 <br /> Check#502802 4300-MAFO Minerals Annual Fees $791.00 <br /> User: sdt <br /> Payer: Dolores County Board of County <br /> Commissioners <br /> Due 9/27/17 <br /> Receipt Total: $791.00 <br /> Page 1 of 1 <br />