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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M2004001 <br /> Lincoln County Receipt#: 22893 <br /> John DeWitt Date: 02/06/2017 <br /> P.O. Box 39 <br /> Permit: M2004001 <br /> Hugo CO 808210000 <br /> IIIIMH. . • • f , • . • • • <br /> Check#32971 4300-MAFO Minerals Annual Fees $791.00 <br /> 2017 <br /> Receipt Total: $791.00 <br /> Page 1 of 1 <br />