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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1977484 <br /> Baca County Receipt#: 25635 <br /> Rick Butler Date: 12/01/2017 <br /> 741 Main Street, Suite 1 <br /> Permit: M1977484 <br /> Springfield CO 810730000 <br /> Check#010340 4300-MAFO Minerals Annual Fees $791.00 <br /> User: sdt <br /> Due 9/11/17 <br /> Receipt Total: $791.00 <br /> Page 1 of 1 <br />