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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M2OO1O97 <br /> The Fort Lyon Canal Company Receipt#: 22203 <br /> Jerred Hoffman Date: 09/21/2016 <br /> 750 Bent Ave. Permit: M2001097 <br /> Las Animas CO 810540000 <br /> MethodPayment Revenue CodeDescription/Notes <br /> Check#27229 4300-MAFO Minerals Annual Fees $791.00 <br /> Due 10/8/16 <br /> Receipt Total: $791A0 <br /> Page 1 of 1 <br />