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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1991104 <br /> Gunnison County Receipt#: 25216 <br /> Marlene Crosby Date: 09/18/2017 <br /> 195 Basin Park Dr. <br /> Permit: M1991104 <br /> Gunnison CO 812300000 <br /> MethodPayment Revenue CodeDescription/Notes <br /> Check#132452 4300-MAFO Minerals Annual Fees $323.00 <br /> User: MSR <br /> 2017 <br /> Receipt Total: $323.00 <br /> Page 1 of 1 <br />