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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M2000110 <br /> Mario Bassi and Josephine Bassi Receipt#: 22188 <br /> Mario Bassi Date: 09/20/2016 <br /> 2000 N. Farm Rd. <br /> Permit: M2000110 <br /> Monte Vista CO 811440000 <br /> MethodPayment Revenue Code • . <br /> Check#1336 4300-MAFO Minerals Annual Fees $791.00 <br /> Due 9/17/16 <br /> Receipt Total: $791.00 <br /> Page 1 of 1 <br />