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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M2001056 <br /> Elbert County Receipt#: 25549 <br /> Monty Williams Date: 11/15/2017 <br /> P.O. Box 116 <br /> Permit: M2001056 <br /> Kiowa CO 801170000 <br /> e <br /> 34'n'tr t llethOd unite F �. <br /> v ° . ., . : � �ci ° 8e .. _. !oint <br /> Check#28419 4300-MAFO Minerals Annual Fees $323.00 <br /> User: sdt <br /> Payer: Elbert County Treasurer <br /> Due 11/9/17 <br /> Receipt Total: $323.00 <br /> Page 1 of 1 <br />