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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1977163SG <br /> Lincoln County Receipt#: 22475 <br /> John DeWitt Date: 11/07/2016 <br /> P.O. Box 39 Permit: M1977163SG <br /> Hugo CO 808210000 <br /> � �� <br /> Check#32382 4300-MAFO Minerals Annual Fees $791.00 <br /> Due 11/21/16 <br /> Receipt Total: $791.00 <br /> Page 1 of 1 <br />