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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1984013 <br /> George E. Often Receipt#: 21653 <br /> George Often Date: 06/15/2016 <br /> 11438 CR 19 <br /> Permit: M1984013 <br /> Fort Lupton CO 806210000 <br /> Payment Method Revenue Code Fee Description/Notes Amount <br /> Check#928 4300-MAFO Minerals Annual Fees $259.00 <br /> 2016 <br /> Receipt Total: $259.00 <br /> Page 1 of 1 <br />