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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1991O83 <br /> Seifert Construction dba Seifert Enterprises, l Receipt#: 22426 <br /> Trent Stafford Date: 10/28/2016 <br /> 198 Range View Loop Permit: M1991083 <br /> Westcliffe CO 812520000 <br /> Payment Method Revenue Code Fee Description/Paid By Other Entity/Notes Amount <br /> Check#7932 4300-MAFO Minerals Annual Fees $791.00 <br /> Due 10/29/16 <br /> Receipt Total: $791.00 <br /> Page 1 of 1 <br />