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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1977301 <br /> Colorado Lien Company Receipt#: 22225 <br /> Date: 09/23/2016 <br /> Permit: M1977301 <br /> 000000000 <br /> Payment . • Revenue Code • . <br /> Check#250573 4300-MAFO Minerals Annual Fees $791.00 <br /> Due 9/22/16 <br /> Receipt Total: $791,00 <br /> Page 1 of 1 <br />