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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1979166 <br /> Elam Construction, Inc. Receipt#: 22156 <br /> Russell Larsen Date: 09/13/2016 <br /> 556 Struthers Ave <br /> Permit: M1979166 <br /> Grand Junction CO 815013826 <br /> a sa lc <br /> Check#154206 4300-MAFO Minerals Annual Fees $791.00 <br /> Due 9/4/2016 <br /> Receipt Total: $791.00 <br /> Page 1 of 1 <br />