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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1997087 <br /> Arnolds Custom Seeding, LLC Receipt#: 21960 <br /> James Simpson Date: 08/09/2016 <br /> 4626 WCR 65 <br /> Permit: M1997087 <br /> Keenesburg CO 806430000 <br /> MethodPayment Revenue Code • • • Amount <br /> Check#002615 4300-MAFO Minerals Annual Fees $791.00 <br /> Receipt Total: $791.00 <br /> Page 1 of 1 <br />