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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1999062 <br /> Hector Rodriguez Receipt#: 22286 <br /> Abe Vasquez Date: 10/05/2016 <br /> P.O. Box 122 <br /> Permit: M1999062 <br /> Lyons CO 805400000 <br /> Check#004973 4300-MAFO Minerals Annual Fees $323.00 <br /> Due 8/23/16 <br /> Receipt Total: $323.00 <br /> Page 1 of 1 <br />