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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1984O26 <br /> Southway Construction Company, Inc. Receipt#: 21633 <br /> Ralph Martinez Date: 06/14/2016 <br /> 117 White Pine Dr. <br /> Permit: M1984026 <br /> Alamosa CO 811010000 <br /> Payment Method Revenue Code Fee Description/Notes Amount <br /> Check#21159 4300-MAFO Minerals Annual Fees $791.00 <br /> 2016 <br /> Receipt Total: $791.00 <br /> Page 1 of 1 <br />