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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1977387 <br /> Prowers County Receipt#: 25591 <br /> Mark Dorenkemp Date: 11/24/2017 <br /> 109 E. Sherman St. Permit: M1977387 <br /> Lamar CO 810520000 <br /> c1NcHe!? e.gds <br /> Check#56206 4300-MAFO Minerals Annual Fees $791.00 <br /> User: sdt <br /> Due 12/1/17 <br /> Receipt Total: $791.00 <br /> Page 1 of 1 <br />