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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1992003 <br /> Silver Mountain Preserve, Inc. Receipt#: 22815 <br /> Travis Crawford Date: 01/20/2017 <br /> 11850 CR 520 <br /> Permit: M1992003 <br /> La Veta CO 810550000 <br /> Payment Method Revenue Code Fee Description/Paid By Other Entity/Notes Amount <br /> Check#2077 4300-MAFO Minerals Annual Fees $323.00 <br /> 2017 <br /> Receipt Total: $323.00 <br /> Page 1 of 1 <br />