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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1977283 <br /> Adams County Receipt#: 22700 <br /> Jennifer Rutter Date: 12/23/2016 <br /> 4430 S.Adams County Parkway, 1st Floor <br /> Permit: M1977283 <br /> Brighton CO 806010000 <br /> Payment Method Revenue Code Fee Description/Paid By Other Entity/Notes Amount <br /> Check#703046 4300-MAFO Minerals Annual Fees $791.00 <br /> Due 12/21/16 <br /> Receipt Total: $791,00 <br /> Page 1 of 1 <br />