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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1999022 <br /> Eddie Clayton Receipt#: 23461 <br /> Eddie Clayton Date: 05/10/2017 <br /> P.O. Box 2 Permit: M1999022 <br /> Hooper CO 811360000 <br /> MethodPayment Revenue Code • . <br /> Check#1147 4300-MAFO Minerals Annual Fees $323.00 <br /> User: sdt <br /> Payer: Clayton Farms LLC <br /> Due 7/29/15 <br /> Receipt Total: $323.00 <br /> Page 1 of 1 <br />