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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M2004027 <br /> Otero County Receipt#: 21832 <br /> Lex Nichols Date: 07/19/2016 <br /> 13 W. 3rd St., Room 208 Permit: M2004027 <br /> La Junta CO 810500000 <br /> Payment • • Revenue Code • • • Amount <br /> Check#108426 4300-MAFO Minerals Annual Fees $791.00 <br /> 2016 <br /> Receipt Total: $791.00 <br /> Page 1 of 1 <br />