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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M2005065 <br /> or <br /> Jack Clark, Jr. Receipt#: 22541 <br /> Jack Clark Jr Date: 11/18/2016 <br /> P. O. Box 767 <br /> Permit: M2005065 <br /> Silverton CO 814330000 <br /> . . <br /> Check#1584 4300-MAFO Minerals Annual Fees $791.00 <br /> Upper Animas Rock Products L.L.P. <br /> 2015 <br /> Receipt Total: $791.00 <br /> Page 1 of 1 <br />