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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M2002122 <br /> Seifert Construction dba Seifert Enterprises, t Receipt#: 21836 <br /> Kent Beach Date: 07/19/2016 <br /> 198 Range View Loop <br /> Permit: M2002122 <br /> Westcliffe CO 812520000 <br /> MethodPayment Revenue Code Fee Description/Notes Amount <br /> Check#7451 4300-MAFO Minerals Annual Fees $791.00 <br /> 2016 <br /> Receipt Total: $791.00 <br /> Page 1 of 1 <br />