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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1991083 <br /> Seifert Construction dba Seifert Enterprises, . Receipt#: 25453 <br /> Trent Stafford Date: 10/27/2017 <br /> 198 Range View Loop <br /> Permit: M1991083 <br /> Westcliffe CO 812520000 <br /> Payment Method Revenue Code Fee Description/Notes Amount <br /> Check#8975 4300-MAFO Minerals Annual Fees $791.00 <br /> User: MSR <br /> 2017 <br /> • <br /> Receipt Total: $791.00 <br /> Page 1 of 1 <br />