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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2012007 <br />RMS Utilities, Inc. <br />Bryan Malouff <br />6349 County Rd. 106.65 S. <br />Alamosa Co 811010000 <br />Receipt #: <br />Date: <br />Permit: <br />23739 <br />06/28/2017 <br />M2012007 <br />Check #234740 4300-MAFO Minerals Annual Fees $32300 <br />User: sdt <br />Due 512016 <br />Check #234740 5700 Minerals Civil Penalty/Violation Fines $32300 <br />User: sdt <br />Infraction Number; MV2017012 <br />Receipt Total: $646.00 <br />RECEIVED <br />JUN 2 7 2017 <br />DIVISION OF RECLAMATION, <br />M SAFETY -MINERALS <br />SPORT MAP <br />F <br />Page 1 of 1 <br />