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W/ <br /> RECEIVED <br /> OCT 0 4 2016 <br /> DIVISluii „w%,L ►MATION Division of Reclamation, Mining, and Safety <br /> FEE8 SAFETY4WINERAil <br /> �p <br /> �v �J Fee Receipt for M2010071 <br /> The City of Lafayette Receipt#: 22280 <br /> Bradley Dallam Date: 10/04/2016 <br /> 1290 South Public Road <br /> Permit: M2010071 <br /> Lafayette CO 800262706 <br /> Oil <br /> Check#307188 4300-MAFO Minerals Annual Fees $791.00 <br /> 2016 <br /> Receipt Total: $791.00 <br /> Page 1 of 1 <br />