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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1999062 <br /> Hector Rodriguez Receipt#: 24072 <br /> Abe Vasquez Date: 08/23/2017 <br /> P.O. Box 122 <br /> Permit: M 1999062 <br /> Lyons CO 805400000 <br /> MethodPayment Revenue Code • • • Amount <br /> Check#005711 4300-MAFO Minerals Annual Fees $323.00 <br /> User: MSR <br /> Payer: Blue Mountain Stone Inc. <br /> 2017 <br /> Receipt Total: $323.00 <br /> Page 1 of 1 <br />