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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2003002 <br />HCR High Country Repair <br />James Branch <br />2632 McCormick Ave. <br />Pueblo CO 810010000 <br />N. <br />Receipt #: <br />Date: <br />Permit: <br />24058 <br />08/22/2017 <br />M2003002 <br />Page 1 of 1 <br />-77 <br />Check #6840 <br />4300-MAFO <br />Minerals Annual Fees <br />$323.00 <br />User: MSR <br />Payer: High Country Repair LLC <br />2017 <br />Receipt Total: <br />$323.00 <br />Page 1 of 1 <br />