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Montrose County <br />000000000 <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1992017 <br />Receipt #: 14929 <br />Date: 04/04/2013 <br />Permit: M1992017 <br />Payment Method Revenue Code Fee Description /Notes Amount <br />00373782 jwd <br />4300 -01 <br />Minerals Annual Fees <br />M- 1992 -017 <br />$791.00 <br />Receipt Total: I $791.00 <br />Page 1 of 1 <br />