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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1998032 <br /> Sedgwick County Receipt#: 21422 <br /> Randy Renquist Date: 05/04/2016 <br /> 223 S Cedar <br /> Permit: M1998032 <br /> Julesburg CO 807370000 <br /> Payment Method Revenue Code Fee Description/Notes Amount <br /> Check#078826 4300-MAFO Minerals Annual Fees $323.00 <br /> Receipt Total: $323.00 <br /> Page 1 of 1 <br />