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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1974092 <br /> Dorn Ready Mix Corp. Receipt#: 25282 <br /> Doug Dowling Date: 09/28/2017 <br /> 19671 Rd R 7 <br /> P.O. Box 636 Permit: M1974092 <br /> Fort Morgan CO 807010000 <br /> Payment Method Revenue Code k Fee Description/Notes Amount <br /> Check#003701 4300-MAFO Minerals Annual Fees $791.00 <br /> User: sdt <br /> Due 10/31/17 <br /> Receipt Total: $791.00 <br /> Page 1 of 1 <br />