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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1981013 <br /> Nichols Gravel Pit, L.L.P. Receipt#: 22222 <br /> John Nichols Date: 09/23/2016 <br /> P.O. Box 285 <br /> Permit: M1981013 <br /> Mesa CO 816430000 <br /> MethodPayment Revenue Code . • • Amount <br /> Check#1227 4300-MAFO Minerals Annual Fees $791.00 <br /> Due 10/21/16 <br /> Receipt Total: $791.00 <br /> Page 1 of 1 <br />