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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1977317 <br /> Summit Brick&Tile Co. Receipt#: 22676 <br /> Joseph Welte Date: 12/20/2016 <br /> P.O. Box 533 <br /> Permit: M1977317 <br /> Pueblo CO 810020533 <br /> Payment Method Revenue Code Fee Description/Paid By Other Entity/Notes Amount <br /> Check#132908 4300-MAFO Minerals Annual Fees $791.00 <br /> Due 12/15/16 <br /> Receipt Total: $791.00 <br /> Page 1 of 1 <br />