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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M2OO1O17 <br /> L. G. Everist, Incorporated Receipt#: 25302 <br /> Lynn Shults Date: 10/03/2017 <br /> 7321 E. 88th Ave., Ste 200 Permit: M2001017 <br /> Henderson CO 806400000 <br /> Pill <br /> Check#214614 4300-MAFO Minerals Annual Fees $791.00 <br /> User: sdt <br /> Payer: L. G. Everist, Inc. <br /> Due 9/19/17 <br /> Receipt Total: $791.00 <br /> Page 1 of 1 <br />