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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1994113 <br /> San Miguel County Receipt#: 25309 <br /> Lynn Black Date: 10/03/2017 <br /> 333 W. Colorado Ave P0 Box 1170 Permit: M1994113 <br /> Telluride CO 814350000 <br /> Check#85455 4300-MAFO Minerals Annual Fees $791.00 <br /> User: sdt <br /> Due 10/4/17 <br /> Receipt Total: $791.00 <br /> Page 1 of 1 <br />