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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1995057 <br /> Deb Rudibaugh Receipt#: 23050 <br /> Deb Rudibaugh Date: 03/06/2017 <br /> 5291 CR 76 <br /> Permit: M1995057 <br /> Parlin CO 812390000 <br /> Payment Method Revenue Code Fee Description/Paid By Other Entity/Notes Amount <br /> Check#2002 4300-MAFO Minerals Annual Fees $323.00 <br /> Deborah Rubibaugh <br /> Due 03/07/17 <br /> Receipt Total: $323.00 <br /> Page 1 of 1 <br />