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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M2011013 <br /> Telluride Stone Company Inc. Receipt#: 22185 <br /> John Gallegos Date: 09/19/2016 <br /> P.O. Box 3552 <br /> Permit: M2011013 <br /> Telluride CO 814350000 <br /> Check#65475 4300-MTRO Minerals Technical Revision $216.00 <br /> TR03 <br /> Receipt Total: $216.00 <br /> Page 1 of 1 <br />