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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1994114 <br /> Kagan &Son, L.L.C. Receipt#: 25324 <br /> Andrew and Rebecca M Kagan Date: 10/05/2017 <br /> 555 Ernest Avenue <br /> Permit: M1994114 <br /> Westcliffe CO 812520000 <br /> MethodPayment Revenue Code • • • Amount <br /> Check/Money Order 4300-MAFO Minerals Annual Fees $791.00 <br /> User: MSR <br /> Receipt Total: $791.00 <br /> Page 1 of 1 <br />