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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1997064 <br />GCC Rio Grande, Inc. <br />Gina Nance <br />3372 Lime Road <br />Pueblo CO 810040000 <br />Receipt #: <br />Date: <br />Permit: <br />24030 <br />08/17/2017 <br />M1997064 <br />.. <br />. v <br />Check #0000012852 <br />4300-MAFO <br />Minerals Annual Fees <br />$791.00 <br />User sdt <br />Due 719117 <br />Receipt Total: <br />$791.00 <br />Page 1 of 1 <br />