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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M2000059 <br /> Geroux Gravel Receipt#: 25629 <br /> Andrew Kagan Date: 11/30/2017 <br /> 555 Ernest Ave <br /> Permit: M2000059 <br /> Westcliffe CO 812520000 <br /> Payment Method Revenue Code , Fee„t?escription/Notes ` Amount „a <br /> Check#9355 4300-MAFO Minerals Annual Fees $323.00 <br /> User: sdt <br /> Payer: Kagan &Son, LLC <br /> Due 2/22/17 <br /> Receipt Total: $323.00 <br /> Page 1 of 1 <br />