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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M2015022 <br /> Lary H Inc Receipt#: 23767 <br /> William Havengar Date: 07/05/2017 <br /> 34449 County Road 10 <br /> Permit: M2015022 <br /> Keenesburg CO 806430000 <br /> MethodPayment Revenue Code <br /> Check#25962 4300-MAFO Minerals Annual Fees $504.00 <br /> User: MSR <br /> 2017 <br /> Receipt Total: $504.00 <br /> Page 1 of 1 <br />