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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M2OO8O2O <br /> Dolores County Receipt#: 25262 <br /> Michael Davis Date: 09/25/2017 <br /> P.O. Box 608 <br /> Permit: M2008020 <br /> Dove Creek CO 813240000 <br /> Payment Method Revenue Code Fee Description/Notes <br /> Check#502857 4300-MTRO Minerals Technical Revision $216.00 <br /> User: MSR <br /> TR01 <br /> Receipt Total: $216.00 <br /> Page 1 of 1 <br />