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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1977320 <br /> Summit Brick&Tile Co. Receipt#: 21743 <br /> Joseph Welte Date: 06/29/2016 <br /> P.O. Box 533 <br /> Permit: M1977320 <br /> Pueblo CO 810020533 <br /> • • Revenue Code • • • Amount <br /> Check#128938 4300-MAFO Minerals Annual Fees $791.00 <br /> Receipt Total: $791.00 <br /> Page 1 of 1 <br />