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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for MI989044 <br /> The Clare Corporation Receipt#: 21663 <br /> Harold Clare, II Date: 06/16/2016 <br /> P.O. Box 1 <br /> Permit: M1989044 <br /> Florissant CO 808160000 <br /> MethodPayment Revenue Code • • • Amount <br /> Check#9337 4300-MAFO Minerals Annual Fees $323.00 <br /> 2016 <br /> Receipt Total: $323.00 <br /> Page 1 of 1 <br />