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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for MI998054 <br /> Rio Blanco County Receipt#: 25365 <br /> David Morlan Date: 10/13/2017 <br /> 570 2nd St. <br /> Permit: M1998054 <br /> Meeker CO 816410000 <br /> MethodPayment Revenue Code • • • Amount <br /> Check#148844 4300-MAFO Minerals Annual Fees $791.00 <br /> User: MSR <br /> 2017 <br /> Receipt Total: $791.00 <br /> Page 1 of 1 <br />