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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1983193 <br />R E Monks Construction Co. <br />Leroy Garcia <br />P.O. Box 25579 <br />Colorado Springs CO 809360000 <br />N. <br />Receipt #: <br />Date: <br />Permit: <br />21862 <br />07/22/2016 <br />M1983193 <br />Receipt Total: $791.00 <br />Page 1 of 1 <br />Check #169025 <br />4300-MAFO <br />Minerals Annual Fees <br />$791.00 <br />2016 <br />Receipt Total: $791.00 <br />Page 1 of 1 <br />