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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M2011028 <br /> Oldcastle SW Group, Inc. dba Four Corners M Receipt#: 25704 <br /> Matt Carnahan Date: 12/13/2017 <br /> P.O. Box 1969 <br /> Permit: M2011028 <br /> Bayfield CO 811221969 <br /> MethodPayment Revenue CodeDescription/Notes <br /> Check#2197401 4300-MAFO Minerals Annual Fees $791.00 <br /> User: sdt <br /> Payer: Oldcastle SW Group, Inc. <br /> Due 12/11/17 <br /> Receipt Total: $791.00 <br /> Page 1 of 1 <br />