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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M2010036 <br /> Rick Ensminger Receipt#: 23919 <br /> Rick Ensminger Date: 07/28/2017 <br /> P.O. Box 276 <br /> Permit: M2010036 <br /> Haxtun CO 807310000 <br /> MethodPayment Revenue CodeDescription/Notes <br /> Check#3801 4300-MAFO Minerals Annual Fees $791.00 <br /> User: msr <br /> 2017 <br /> Receipt Total: r $791.00 <br /> Page 1 of 1 <br />