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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1976009HR <br /> Schmidt Construction Company Receipt#: 22710 <br /> Scott Davis Date: 12/30/2016 <br /> 2635 Delta Dr. <br /> Permit: M1976009HR <br /> Colorado Springs CO 809100000 <br /> MethodPayment Revenue Code . . . By Other <br /> Check#1019210 4300-MAFO Minerals Annual Fees $791.00 <br /> Due 12/31/16 <br /> Receipt Total: $791.00 <br /> Page 1 of 1 <br />