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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for MI993088 <br /> Baca County Receipt#: 23058 <br /> Glen Ausmus Date: 03/07/2017 <br /> 741 Main St., Suite 1 <br /> Permit: M1993088 <br /> Springfield CO 810730000 <br /> Payment Method Revenue Code Fee Description/Paid By Other Entity/Notes Amount <br /> Check#121556 4300-MAFO Minerals Annual Fees $791.00 <br /> Due 03/07/17 <br /> Receipt Total: $791.00 <br /> Page 1 of 1 <br />