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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1998060 <br /> 01 Kit Carson County Receipt#: 24003 <br /> Dave Hornung Date: 08/14/2017 <br /> P.O. Box 160 Permit: M1998060 <br /> QBurlington CO 808070000 <br /> J 77 <br /> I <br /> Check#126088 4300-MAFO Minerals Annual Fees $791.00 <br /> User. sdt <br /> Due 9/9/17 <br /> Receipt Total: $791.00 <br /> Page 1 of 1 <br />