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Ouray County <br />000000000 <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1991O97 <br />Receipt #: 11840 <br />Date: 11/22/2011 <br />Permit: M1991097 <br />Payment Method Revenue Code : Fee Description /Notes <br />Amoun <br />40553 -mr1 <br />4300 -01 <br />Minerals Annual Fees <br />M- 1991 -097 <br />$791.00 <br />Receipt Total: I $791.00 <br />Page 1 of 1 <br />