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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for MI999064 <br /> Luis M.Vasquez Receipt#: 22287 <br /> Abe Vasquez Date: 10/05/2016 <br /> P.O. Box 122 Permit: M1999064 <br /> Lyons CO 805400000 <br /> Check#004974 4300-MAFO Minerals Annual Fees $323.00 <br /> Due 8/23/16 <br /> Receipt Total: $323.00 <br /> Page 1 of 1 <br />