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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1984108 <br />Western Gravel, Inc. <br />Judy DeVincentis <br />3001 N. Townsend Ave. <br />Montrose CO 814010000 <br />Check # 1 4300-MAFO <br />Minerals Annual <br />User: sdt <br />Due 12/14/17 / <br />Receipt #: <br />Date: <br />Permit: <br />9 <br />25646 <br />12/01/2017 <br />M1984108 <br />$791.00 <br />Receipt Total: 1$791.00 <br />Page 1 of 1 <br />