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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1990147 <br /> Jack Pine Mining Company Receipt#: 22794 <br /> Fabyan Watrous Date: 01/18/2017 <br /> P.O. Box 66 <br /> Permit: M1990147 <br /> Idaho Springs CO 804520066 <br /> MethodPayment Other <br /> Check#5879 4300-MAFO Minerals Annual Fees $259.00 <br /> Due 02/12/17 <br /> Receipt Total: $259.00 <br /> Page 1 of 1 <br />