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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M2003003 <br /> Consolidated Constructors, Inc. Receipt#: 21915 <br /> Joe Kozimor Date: 07/29/2016 <br /> P.O. Box 629 <br /> Permit: M2003003 <br /> Farmington NM 874990000 <br /> MethodPayment Revenue Code Fee Description/Notes Amount <br /> Check#34075 4300-MAFO Minerals Annual Fees $791.00 <br /> Receipt Total: $791.00 <br /> Page 1 of 1 <br />