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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1982126 <br /> Crowley County Receipt#: 22146 <br /> T.E.Allumbaugh Date: 09/13/2016 <br /> 603 Main St. Ste. 2 <br /> Permit: M1982126 <br /> Ordway CO 810630000 <br /> Ilia <br /> Check#067496 4300-MAFO Minerals Annual Fees $791.00 <br /> Due 4/28/2016 <br /> Receipt Total: $791.00 <br /> Page 1 of 1 <br />