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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1983130 <br /> el Elbert County Receipt#: 22163 <br /> Kelly Moore Date: 09/14/2016 <br /> P.O. Box 116 <br /> Permit: M1983130 <br /> Kiowa CO 801170000 <br /> Check#22670 4300-MAFO Minerals Annual Fees $323.00 <br /> Due 9/22/2016 <br /> Receipt Total: $323.00 <br /> Page 1 of 1 <br />