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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1983130 <br /> Elbert County Receipt#: 25676 <br /> Kelly Moore Date: 12/07/2017 <br /> P.O. Box 116 <br /> Permit: M1983130 <br /> Kiowa CO 801170000 <br /> Payment Method Revenue C de ` \ Fee Description/Notes Amount <br /> Check#28569 4300-MAFO Minerals Annual Fees $323.00 <br /> User: MSR <br /> 2017 <br /> Receipt Total: $323.00 <br /> Page 1 of 1 <br />