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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M2013040 <br /> Richard Fretterd Receipt#: 22401 <br /> Richard Fretterd Date: 10/25/2016 <br /> 1065 Woodland Ave., #16 <br /> Permit: M2013040 <br /> Woodland Park CO 808630000 <br /> Payment Method Revenue Code Fee Description/Paid By Other Entity/Notes Amount <br /> Check#1161 4300-MAFO Minerals Annual Fees $288.00 <br /> Legacy Gems and Minerals, LLC <br /> Due 10/21/16 <br /> Receipt Total: $288.00 <br /> Page 1 of 1 <br />