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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M2002108 <br /> Lincoln County Receipt#: 22333 <br /> John DeWitt Date: 10/13/2016 <br /> P.O. Box 39 <br /> Permit: M2002108 <br /> Hugo CO 808210000 <br /> MethodPayment Revenue Code • . • <br /> Check#32196 4300-MAFO Minerals Annual Fees $323.00 <br /> 2016 <br /> Receipt Total: $323.00 <br /> Page 1 of 1 <br />