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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1997O86 <br /> Siloam Stone, Inc. Receipt#: 23145 <br /> Matt Mueller Date: 03/23/2017 <br /> 315 N. 7th St. Permit: M1997086 <br /> Canon City CO 812120000 <br /> MethodPayment Revenue Code • • • Amount <br /> Check#16684 4300-MAFO Minerals Annual Fees $791.00 <br /> User: sdt <br /> Due 03/16/17 <br /> Receipt Total: $791.00 <br /> Page 1 of 1 <br />