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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1998O59 <br /> L 8� L Ready Mix Receipt#: 25223 <br /> Laurine Koeliner Date: 09/19/2017 <br /> P.O. Box 218 <br /> Permit: M1998059 <br /> Haxtun CO 807310000 <br /> MethodPayment Revenue Code • • • Amount <br /> Check#15391 4300-MAFO Minerals Annual Fees $791.00 <br /> User: MSR <br /> 2016 <br /> Receipt Total: $791.00 <br /> Page 1 of 1 <br />