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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M2001106 <br /> 11 Huerfano County Receipt#: 22601 <br /> Melanie Bounds Date: 12/02/2016 <br /> 401 Main St., Ste. 105 Permit: M2001106 <br /> Walsenburg CO 810890000 <br /> MethodPayment Other Entity/Notes Amount <br /> Check#035686 4300-MAFO Minerals Annual Fees $791.00 <br /> Due 12/18/16 <br /> Receipt Total: $791.00 <br /> Page 1 of 1 <br />