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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1983209 <br /> Frank Gilmore Receipt#: 21878 <br /> Frank Gilmore Date: 07/25/2016 <br /> 13721 G Road <br /> Permit: M1983209 <br /> Delta CO 814160000 <br /> Payment . • Revenue Code • . <br /> Check#8459 4300-MAFO Minerals Annual Fees $323.00 <br /> 2016 <br /> Receipt Total: $323.00 <br /> Page 1 of 1 <br /> S <br />