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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1998080 <br /> H & H Stone Receipt#: 25744 <br /> Betty Holley Date: 12/27/2017 <br /> P.O. Box 246 <br /> Permit: M1998080 <br /> Dove Creek CO 813240000 <br /> MethodPayment Revenue Code • • • AmountQ,I <br /> Check#2471 4300-MAFO Minerals Annual Fees $323.00 <br /> User: sdt <br /> Payer: McCloud Stone <br /> Due 11/27/17-Fee Only <br /> Receipt Total: $323.00 <br /> Page 1 of 1 <br />