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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1977163SG <br />Lincoln County <br />Trey James <br />P.O. Boc 39 <br />Hugo CO 808210000 <br />Receipt #: 25511 <br />Date: 11/0712017 <br />Permit: M1977163SG <br />Page 1 of 1 <br />Check #34981 <br />4300-MAFO <br />Minerals Annual Fees <br />User: sdt <br />Due 11/21/17 <br />$791.00 <br />Receipt Total: <br />$791.00 <br />Page 1 of 1 <br />