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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M2OOOO28 <br /> Mike A Ferrero Receipt#: 21414 <br /> Mike Ferrero Date: 05/04/2016 <br /> 34320 Hwy 12 <br /> Permit: M2000028 <br /> Trinidad CO 810820000 <br /> Payment Method Revenue Code Fee Description/Notes Amount <br /> Check#721 4300-MAFO Minerals Annual Fees $323.00 <br /> *No Map Included <br /> Receipt Total: $323.00 <br /> Page 1 of 1 <br />