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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M2OO5O6O <br /> Weld County Receipt#: 22072 <br /> Clay Kimmi Date: 08/25/2016 <br /> 1111 H St. <br /> P.O. Box 758 Permit: M2005060 <br /> Greeley CO 806320000 <br /> MethodPayment Revenue Code • • • Amount <br /> Check#3316170 4300-MAFO Minerals Annual Fees $791.00 <br /> Receipt Total: $791.00 <br /> Page 1 of 1 <br />