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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1990114 <br /> Saguache County Receipt#: 22258 <br /> Randal Arredondo Date: 09/27/2016 <br /> P.O. Box 476 Permit: M1990114 <br /> Saguache CO 811490000 <br /> Check#67143 4300-MAFO Minerals Annual Fees $791.00 <br /> Due 10/26/16(fee only rec'd) <br /> Receipt Total: $791.00 <br /> Page 1 of 1 <br />