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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M2004030 <br /> T Bone Stone, Inc. Receipt#: 22162 <br /> Bill Tenore Date: 09/14/2016 <br /> 2337 Emery St <br /> Permit: M2004030 <br /> Longmont CO 805010000 <br /> Check#4764 4300-MAFO Minerals Annual Fees $323.00 <br /> Due 9/13/2016 <br /> Receipt Total: $323.00 <br /> Page 1 of 1 <br />