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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1983216 <br />Receipt #: <br />Date: <br />5945 <br />Mesa County Public Works <br />Permit: <br />000000000 <br />170747-mr1 14300-01 1 Minerals Annual Fees <br />M-1983-216, fees paid by Mesa County <br />06/24/2009 <br />M1983216 <br />$323.00 <br />Receipt Total: $323.00 <br />Page 1 of 1