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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2009074 <br />Colorado Backhoe Service <br />Thomas Joseph <br />25193 South Road <br />Pueblo CO 810060000 <br />Receipt #: <br />Date: <br />Permit: <br />25512 <br />11/07/2017 <br />M2009074 <br />..US <br />Check #6392 <br />4300-MAFO <br />Minerals Annual Fees <br />$323.00 <br />User: sdt <br />Due 1115117 <br />Receipt Total: <br />$323.00 <br />Page 1 of 1 <br />