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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1990070 <br /> San Juan County Receipt#: 21806 <br /> Louis Girodo Date: 07/12/2016 <br /> 1512 Greene St <br /> P.O. Box 466 Permit: M1990070 <br /> Silverton CO 814330000 <br /> MethodPayment Revenue Code • • • Amount <br /> Check#5309 4300-MAFO Minerals Annual Fees $323.00 <br /> Receipt Total: $323.00 <br /> Page 1 of 1 <br /> 5 <br />