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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1995034 <br /> Daniel M Russell Receipt#: 21830 <br /> Daniel Russell Date: 07/19/2016 <br /> 9042 S. 106 Rd. <br /> Permit: M1995034 <br /> Alamosa CO 811010000 <br /> Payment • • Revenue Code • • • Amount I <br /> Check#20665 4300-MAFO Minerals Annual Fees $791.00 <br /> 2016 <br /> Receipt Total: $791.00 <br /> Page 1 of 1 <br />