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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1985135 <br /> Larimer County Receipt#: 23071 <br /> Justin Hersh Date: 03/08/2017 <br /> P.O. Box 1190 <br /> Permit: M1985135 <br /> Fort Collins CO 805220000 <br /> MethodPayment Other <br /> Check#385612 4300-MAFO Minerals Annual Fees $791.00 <br /> Larimer County Colorado <br /> Due 01/31/17 <br /> Receipt Total: $791.00 <br /> Page 1 of 1 <br />