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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M2004021 <br /> Washington County Receipt#: 23785 <br /> Jeremy Wells Date: 07/10/2017 <br /> 150 Ash Avenue <br /> Permit: M2004021 <br /> Akron CO 807200000 <br /> MethodPayment Revenue Code • • • Amount <br /> Check#85496 4300-MAFO Minerals Annual Fees $791.00 <br /> User: MSR <br /> 2017 <br /> Receipt Total: $791.00 <br /> Page 1 of 1 <br />