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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M2001017 <br /> L. G. Everist, Incorporated Receipt#: 22246 <br /> Lynn Shults Date: 09/27/2016 <br /> 7321 E. 88th Ave., Ste 200 <br /> Permit: M2001017 <br /> Henderson CO 806400000 <br /> • sr � „, s s . <br /> Check#207228 4300-MAFO Minerals Annual Fees $791.00 <br /> Due 9/19/16 <br /> Receipt Total: $791.00 <br /> Page 1 of 1 <br />