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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1977321 <br /> Summit Brick&Tile Co. Receipt#: 22972 <br /> Matt Welte Date: 02/21/2017 <br /> P.O. Box 533 <br /> Permit: M1977321 <br /> Pueblo CO 810020533 <br /> Check#134631 4300-MAFO Minerals Annual Fees $323.00 <br /> Due 02/17/17 <br /> Receipt Total: $323.00 <br /> Page 1 of 1 <br />