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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1999120 <br /> L. G. Everist, Incorporated Receipt#: 21624 <br /> Lynn Schults Date: 06/09/2016 <br /> 7321 E. 88th Ave., Ste 200 <br /> Permit: M1999120 <br /> Henderson CO 806400000 <br /> Payment • • Revenue Code • • • Amount <br /> Check#205138 4300-MAFO Minerals Annual Fees $791.00 <br /> Receipt Total: $791.00 <br /> Page 1 of 1 <br />