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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1996031 <br /> Sutherland Brothers, Inc. Receipt#: 21779 <br /> Bob Sutherland Date: 07/06/2016 <br /> P.O. Box 889 <br /> Permit: M1996031 <br /> Nucla CO 814240000 <br /> Payment •• Revenue Code • • • Amount <br /> Check#18261 4300-MAFO Minerals Annual Fees $323.00 <br /> Receipt Total: $323.00 <br /> Page 1 of 1 <br />