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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M2001010 <br /> Elbert County Receipt#: 21898 <br /> Lynne Eschbach Date: 07/28/2016 <br /> P.O. Box 116 Permit: M2001010 <br /> Kiowa CO 801170000 <br /> Payment • • Revenue Code • • • Amount <br /> Check#22203 4300-MAFO Minerals Annual Fees $791.00 <br /> 2016 <br /> Receipt Total: $791.00 <br /> Page 1 of 1 <br /> 0 <br />