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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1995021 <br /> Park County Receipt#: 23356 <br /> Nicki Griffin Date: 04/25/2017 <br /> PO Box 147 <br /> Permit: M1995021 <br /> Fairplay CO 804400000 <br /> Check#030630 4300-MAFO Minerals Annual Fees $323.00 <br /> User: sdt <br /> Due 04/24/17 <br /> Receipt Total: $323.00 <br /> Page 1 of 1 <br />