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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1998022 <br /> The Gallegos Corporation Receipt#: 21541 <br /> Gary Woodworth Date: 05/26/2016 <br /> P.O. Box 821 <br /> Permit: M1998022 <br /> Vail CO 816580000 <br /> Payme1t Method Revenue Code Fee Description/Notes Amount <br /> Check#143844 4300-MAFO Minerals Annual Fees $791.00 <br /> 2016 <br /> Receipt Total: $791.00 <br /> Page 1 of 1 <br />