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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M2000073 <br /> XTO Energy Inc. Receipt#: 21731 <br /> Kelly Kardos Date: 06/27/2016 <br /> P.O. BOX 6501 <br /> Permit: M2000073 <br /> ENGLEWOOD CO 801550000 <br /> MethodPayment Revenue Code Fee Description/Notes <br /> Check#0007915 4300-MAFO Minerals Annual Fees $791.00 <br /> Receipt Total: $791.00 <br /> Page 1 of 1 <br />