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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1978O66 <br /> Rio Grande County Receipt#: 25417 <br /> Patrick Sullivan Date: 10/19/2017 <br /> 168 N. Washington <br /> Permit: M1978066 <br /> Monte Vista CO 811440000 <br /> MethodPayment Revenue Code • • • Amount <br /> Check#147999 4300-MAFO Minerals Annual Fees $791.00 <br /> User: MSR <br /> 2017 <br /> Receipt Total: $791.00 <br /> Page 1 of 1 <br />