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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M2010084 <br /> Lost Cause, LLC Receipt#: 21591 <br /> Tim Mantle Date: 06/06/2016 <br /> 27002 CR 5 <br /> Permit: M2010084 <br /> Rifle CO 816500000 <br /> Payment Method Revenue Code Fee Description/Notes Amount <br /> Check#1336 4300-MAFO Minerals Annual Fees $323.00 <br /> [7777Feceipt Total: $323.00 <br /> Page 1 of 1 <br />