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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1997065 <br /> US, LLC Receipt#: 22363 <br /> Jim Striggow Date: 10/18/2016 <br /> 4717 Bay View Drive Permit: M1997065 <br /> Fort Collins CO 805260000 <br /> MethodPayment • Amount <br /> Check#21187 4300-MAFO Minerals Annual Fees $791.00 <br /> Stone Whelesale, Inc. <br /> Due 10/22/16 <br /> Receipt Total: $791.00 <br /> Page 1 of 1 <br />