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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1984097 <br /> Mineral County Receipt#: 21528 <br /> Janelle Kukuk Date: 05/24/2016 <br /> P.O. Box 70 <br /> Permit: M1984097 <br /> Creede CO 811300000 <br /> Payment • • Revenue Code • • • Amount <br /> Check#30011 4300-MAFO Minerals Annual Fees $791.00 <br /> Receipt Total: $791.00 <br /> Page 1 of 1 <br />