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a <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1992017 <br />Montrose County <br />000000000 <br />Receipt #: <br />Date: <br />Permit: <br />10211 <br />03/28/2011 <br />M1992017 <br />360241-mr1 4300-01 Minerals Annual Fees $791.00 <br />M-1992-017 <br />Receipt Total: $791.00 <br />Page 1 of 1