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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M2004047 <br /> Farfrumwurkin, LLLP Receipt#: 21984 <br /> Jon File Date: 08/11/2016 <br /> P.O. Box 983 <br /> Permit: M2004047 <br /> Broomfield CO 800380000 <br /> MethodPayment Revenue Code Fee Description/Notes Amount <br /> Check#12628 4300-MAFO Minerals Annual Fees $791.00 <br /> Receipt Totai: $791.00 <br /> Page 1 of 1 <br />