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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M2000084 <br /> Washington County Receipt#: 22433 <br /> Jason Lockard Date: 10/31/2016 <br /> 150 Ash Avenue <br /> Permit: M2000084 <br /> Akron CO 807200000 <br /> Check#83324 4300-MAFO Minerals Annual Fees $323.00 <br /> 2016 <br /> Receipt Total: $323.00 <br /> Page 1 of 1 <br />