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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1999004 <br /> Tezak Heavy Equipment Co. Inc. Receipt#: 21577 <br /> Randy DiLuzio Date: 06/01/2016 <br /> 205 Tunnel Dr. <br /> Permit: M1999004 <br /> Canon City CO 812120000 <br /> MethodPayment Revenue Code Fee Description/Notes Amount <br /> Check#042858 4300-MAFO Minerals Annual Fees $791.00 <br /> Receipt Total: $791.00 <br /> Page 1 of 1 <br />