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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1986016 <br />Caldwell Brothers <br />Wayne Caldwell <br />25026 Rd 19 <br />Rocky Ford CO 810670000 <br />Receipt # <br />Date <br />Permit: <br />23701 <br />06/23/2017 <br />M1986016 <br />Page 1 of 1 <br />Check #1818 <br />4300-MAFO <br />Minerals Annual Fees <br />User: sdt <br />Due 6/1/17 <br />$791.00 <br />Receipt Total: <br />$791.00 <br />Page 1 of 1 <br />