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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1979158 <br /> Colorado City Metropolitan District Receipt#: 22677 <br /> David Valdez Date: 12/20/2016 <br /> 4497 Bent Brothers Blvd. Permit: M1979158 <br /> P.O. Box 20229 <br /> Colorado City CO 810190000 <br /> Payment Method Revenue Code Fee Description/Paid By Other Entity/Notes Amount <br /> Check#30145 4300-MAFO Minerals Annual Fees $791.00 <br /> Due 12/20/16 <br /> Receipt Total: $791.00 <br /> Page 1 of 1 <br />