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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M2004036 <br /> Mason King Receipt#: 21957 <br /> Mason King Date: 08/08/2016 <br /> P.O. Box 68 <br /> Permit: M2004036 <br /> Cope CO 808120000 <br /> L Payment • • Revenue Code • • • Amount <br /> Check#3450 4300-MAFO Minerals Annual Fees $323.00 <br /> No Map <br /> Receipt Total: $323.00 <br /> Page 1 of 1 <br />