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Montezuma County <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1999077 <br />000000000 <br />Receipt #: 20420 <br />Date: 10/15/2015 <br />Permit: M1999077 <br />koi <br />28673 SDT <br />4300-MAFO <br />Minerals Annual Fees <br />$791.00 <br />M 1999-077 - 2015 <br />Receipt Total: $791.00 <br />Page 1 of 1 <br />