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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M2OO4O25 <br /> Farnsworth Construction and Gravel Compan Receipt#: 23129 <br /> Patricia Farnsworth Date: 03/20/2017 <br /> 175 Hwy 133 <br /> Permit: M2004025 <br /> Paonia CO 814280000 <br /> Check#13076 4300-MAFO Minerals Annual Fees $323.00 <br /> User: sdt <br /> Payer: Farnsworth Construction Co. <br /> Due 04/22/17 <br /> Receipt Total: $323.00 <br /> Page 1 of 1 <br />