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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1983067 <br /> Albert Frei & Sons Inc. Receipt#: 23179 <br /> Ben Frei Date: 03/28/2017 <br /> P.O. Box 700 Permit: M1983067 <br /> Henderson CO 806400700 <br /> MethodPayment Revenue Code • • • Amount <br /> Check#39104 4300-MAFO Minerals Annual Fees $791.00 <br /> User: sdt <br /> Due 04/20/17 <br /> Receipt Total: $791.00 <br /> Page 1 of 1 <br />