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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1987016 <br />01 <br />Lincoln County <br />Jeffrey Coonts <br />P.O. Box 39 <br />Hugo CO 808210000 <br />Receipt #: <br />Date: <br />Permit: <br />23214 <br />04/06/2017 <br />M1987016 <br />Page 1 of 1 <br />• <br />R e.' <br />_ 1 <br />Check #33384 <br />4300-MAFO <br />Minerals Annual Fees <br />$323.00 <br />User: msr <br />2017 <br />Receipt Total: <br />$323.00 <br />Page 1 of 1 <br />