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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M2010009 <br /> Washington County Receipt#: 21511 <br /> Jason Lockard Date: 05/23/2016 <br /> 150 Ash Avenue <br /> Permit: M2010009 <br /> Akron CO 807200000 <br /> MethodPayment Revenue Code Fee Description/Notes Amount <br /> Check#81984 4300-MAFO Minerals Annual Fees $791.00 <br /> One check, two permits(TOT: $1,582.00). <br /> Receipt Total: $791.00 <br /> Page 1 of 1 <br />