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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1983178 <br /> Bent County Receipt#: 25643 <br /> Calvin Feik Date: 12/01/2017 <br /> P.O. Box 350 <br /> Permit: M1983178 <br /> Las Animas CO 810540350 <br /> MethodPayment Revenue Code • • • Amount <br /> Check#035310 4300-MAFO Minerals Annual Fees $791.00 <br /> User: sdt <br /> Due 11/2/17 <br /> Receipt Total: $791.00 <br /> Page 1 of 1 <br />