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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M2OO4O48 <br /> Robert Daugherty Receipt#: 22719 <br /> Robert Daugherty Date: 01/04/2017 <br /> P.O. Box 1364 <br /> Permit: M2004048 <br /> Clifton CO 815200000 <br /> Payment Method Revenue Code Fee Description/Paid By Other Entity/Notes Amount <br /> Check#3339 4300-MAFO Minerals Annual Fees $323.00 <br /> Due 10/04/16 <br /> Receipt Total: $323.00 <br /> Page 1 of 1 <br />