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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M2019035 <br /> Martinez Western Constructors Inc. Receipt#: 28961 <br /> Paul Martinez Date: 07/08/2019 <br /> 718 Railroad Ave <br /> Permit: M2019035 <br /> Rifle CO 816500000 <br /> MethodPayment Revenue Code • • • Amount <br /> Check#711954 4300-MAPP Minerals Application Fees $1,258.00 <br /> User: sdt <br /> Payer: Martinez Western Constructors <br /> Receipt Total: $1,258,00 <br /> Page 1 of 1 <br />