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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M2014034 <br /> Huerfano County Receipt#: 21426 <br /> Melanie Bounds Date: 05/04/2016 <br /> 401 Main Street, Suite 101 <br /> Permit: M2014034 <br /> Walsenburg CO 810890000 <br /> Payment Method Revenue Code Fee Description/Notes tnount <br /> Check#034613 4300-MAFO Minerals Annual Fees $791.00 <br /> *One check for two permits($1,582.00) <br /> Receipt Total: $791.00 <br /> Page 1 of 1 <br />