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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1997089 <br /> Daren Stone Receipt#: 21730 <br /> Daren Stone Date: 06/27/2016 <br /> P.O. Box 1568 Permit: M1997089 <br /> Cortez CO 813210000 <br /> MethodPayment Revenue Code • • • <br /> Check#003769 4300-MAFO Minerals Annual Fees $791.00 <br /> Receipt Total: $791.00 <br /> Page 1 of 1 <br />