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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2004042 <br />811400000COLa Jara <br />111 50 FDR 255 <br />Ralph Porco <br />Receipt #: <br />09/01/2016 <br /> 22100 <br />Date: <br />M2004042Permit: <br />Ralph Porco, Randy Porco <br />Fee Description/Paid By Other Entity/NotesRevenue CodePayment Method Amount <br />Check #2418 $323.00 4300-MAF0 Minerals Annual Fees <br />2016 <br />$323.00 Receipt Total: <br />Page 1 of 1