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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1996076 <br /> Rudolph Fontanari Receipt#: 23293 <br /> Rudolph Fontanari Date: 04/19/2017 <br /> 3316 E 3/4 Rd Rt 1 <br /> Permit: M1996076 <br /> Clifton CO 815200000 <br /> MethodPayment Revenue Code • • • Amount <br /> Check#5047 4300-MAFO Minerals Annual Fees $791.00 <br /> User: sdt <br /> Payer: Western Slope Flagstone, LLC Rudolph <br /> Fontanari/Ethel Fontanari <br /> Due 04/16/17 <br /> Receipt Total: $791.00 <br /> Page 1 of 1 <br />