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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M2011026 <br /> Keyah Grande Lodge and Elk Ranch Receipt#: 22564 <br /> Michael Iguchi Date: 11/22/2016 <br /> 13211 Highway 160 West Permit: M2011026 <br /> Pagosa Springs CO 811470000 <br /> 0� L; <br /> Check#00 1858 4300-MAFO Minerals Annual Fees $791.00 <br /> Keyah Grande-Ranch <br /> Due 11/21/16 <br /> Receipt Total: $791.00 <br /> Page 1 of 1 <br />