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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M2011015 <br /> Seifert Enterprises, LLC Receipt#: 21739 <br /> Trent Stafford Date: 06/29/2016 <br /> 198 Rangeview Loop <br /> Permit: M2011015 <br /> Westcliffe CO 812520000 <br /> MethodPayment Revenue Code • • • Amount <br /> Check#7382 4300-MAFO Minerals Annual Fees $791.00 <br /> *Map not included. <br /> Receipt Total: $791.00 <br /> Page 1 of 1 <br />