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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M2004045 <br /> Rio Grande Ranch, LLC Receipt#: 23107 <br /> Dan Hicks Date: 03/14/2017 <br /> P.O. Box 880 Permit: M2004045 <br /> South Fork CO 811540000 <br /> Check#1513 4300-MAFO Minerals Annual Fees $323.00 <br /> River Island Ranch POA, Inc. <br /> Due 03/28/17 <br /> Receipt Total: $323.00 <br /> Page 1 of 1 <br />