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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1991146 <br />Sako Excavation, LLC Receipt#: 24094 <br />Travis Sackman Date: 08/28/2017 <br />1254 County Road 23 <br />Permit: M1991146P.O. Box 1103 <br />Ouray CO 814270000 <br />Paynient Method Revenue CodeFee 3escriptioNHdtes n Amount <br />Check#5739 4300-MAFO Minerals Annual Fees 323.00 <br />User: sdt <br />Due 8/27/17 <br />Receipt Total: 323.00 <br />Page 1 of 1