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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1987166 <br /> Westhoff Farms Receipt#: 22560 <br /> Joseph Westhoff Date: 11/22/2016 <br /> 2823 CR 3 <br /> Permit: M1987166 <br /> Wiggins CO 806540000 <br /> Check#2011 4300-MAFO Minerals Annual Fees $323.00 <br /> Joseph E. Westhoff&Vickie D. Westhoff <br /> Due 12/01/16 <br /> Receipt Total: $323.00 <br /> Page 1 of 1 <br />