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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M2002106 <br /> Larry Mondragon Receipt#: 22176 <br /> Larry Mondragon Date: 09/16/2016 <br /> 9451 U.S. Hwy. 285 S <br /> Permit: M2002106 <br /> Alamosa CO 811010000 <br /> Check#10388 4300-MAFO Minerals Annual Fees $323.00 <br /> Due 9/22/2016 <br /> Receipt Total: $323.00 <br /> Page 1 of 1 <br />