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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M2002087 <br /> Mask Ranch, LLC Receipt#: 25598 <br /> Roger August Date: 11/27/2017 <br /> P.O. Box 5356 <br /> Permit: M2002087 <br /> Pagosa Springs CO 811470000 <br /> • <br /> ett Method Revenue C 1 �p#in/Nte$ �i n <br /> .,�.n.,.,.r.x.wr.,....L...._.....,_._...,...... . ..,.........,,.........w� ...�E�'s�.#� "s,susr�:oc.�'..w w.w.....,...`........__....w:.:N . .....��.....�.�....»�._-- <br /> Check <br /> Check#2904 4300-MAFO Minerals Annual Fees $323.00 <br /> User: sdt <br /> Payer: Mask, LLC <br /> Due 11/25/17 <br /> Receipt Total: $323.00 <br /> Page 1 of 1 <br />