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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1991086 <br /> Bent County Receipt#: 22294 <br /> Calvin Feik Date: 10/05/2016 <br /> P.O. Box 350 <br /> Permit: M1991086 <br /> Las Animas CO 810540350 <br /> COME= <br /> ® i ; <br /> Check#032315 4300-MAFO Minerals Annual Fees $791.00 <br /> Due 10/3/16 <br /> Receipt Total: $791.00 <br /> Page 1 of 1 <br />