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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M2004043 <br /> Larry and Christine Tortorice Receipt#: 22304 <br /> Christine Tortorice Date: 10/07/2016 <br /> 17512 County Road 83 Permit: M2004043 <br /> Trinidad CO 810820000 <br /> Check#1847 4300-MAFO Minerals Annual Fees $791.00 <br /> Due 10/19/16 <br /> Receipt Total: $791.00 <br /> Page 1 of 1 <br />