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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M2007034 <br /> S &S Services Receipt#: 22133 <br /> Sylvia Lopez Date: 09/08/2016 <br /> 19901 State Hwy. 12 Permit: M2007034 <br /> Weston CO 810910000 <br /> Check#2369 4300-MAFO Minerals Annual Fees $323.00 <br /> (due 9/7/2016) <br /> Receipt Total: $323.00 <br /> Page 1 of 1 <br />