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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M2O14O41 <br /> Russell Painter Receipt#: 22334 <br /> Russell Painter Date: 10/13/2016 <br /> 1761 Pikes Peak Dr. <br /> Permit: M2014041 <br /> Florissant CO 808160000 <br /> MethodPayment Revenue Code • . <br /> Cash 4300-MAFO Minerals Annual Fees $86.00 <br /> 2016 <br /> Receipt Total: $86.00 <br /> Page 1 of 1 <br />