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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1980052 <br /> Keith Holsinger Receipt#: 23083 <br /> Keith Holsinger Date: 03/10/2017 <br /> P.O. Box 37 <br /> Permit: M1980052 <br /> Walden CO 804800000 <br /> • • • • • • • i <br /> Check#14873 4300-MAFO Minerals Annual Fees $323.00 <br /> Keith or Debbie Holsinger <br /> Due 04/23/17 <br /> Receipt Total: $323.00 <br /> Page 1 of 1 <br />