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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1985109 <br /> Lincoln County Receipt#: 21949 <br /> John DeWitt Date: 08/08/2016 <br /> P.O. Box 39 <br /> Permit: M1985109 <br /> Hugo CO 808210000 <br /> MethodPayment Revenue Code • • • Amount <br /> Check#31594 4300-MAFO Minerals Annual Fees $323.00 <br /> 1 check,5 permits. TOT: $2,083.00.(M-1985-109, M-1985-105, <br /> M-1985-110, M-2005-044 & M-1985-107) <br /> Receipt Total: $323.00 <br /> Page 1 of 1 <br />