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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M2005032 <br /> 11 JC Farms Inc Receipt#: 23967 <br /> Jeff Sprague Date: 08/07/2017 <br /> 55184 Co Rd ZZ <br /> Permit: M2005032 <br /> Yuma CO 807590000 <br /> Check#4360 4300-MAFO Minerals Annual Fees $323.00 <br /> User: sdt <br /> Due 8/16/17 <br /> Receipt Total: $323.00 <br /> Page 1 of 1 <br />