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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1992060 <br /> City of Monte Vista Receipt#: 22335 <br /> Forrest Neuerburg Date: 10/14/2016 <br /> 95 W, 1st <br /> Permit: M1992060 <br /> Monte Vista CO 811440000 <br /> MethodPayment Revenue Code • • • Amount <br /> Check#026169 4300-MAFO Minerals Annual Fees $323.00 <br /> 2016 <br /> Receipt Total: $323.00 <br /> Page 1 of 1 <br />