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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M2011026 <br /> Keyah Grande Lodge and Elk Ranch Receipt#: 25709 <br /> Michael Iguchi Date: 12/18/2017 <br /> 13211 Highway 160 West Permit: M2011026 <br /> Pagosa Springs CO 811470000 <br /> Payment • • Revenue Code Fee Description/No ount <br /> Check#002586 4300-MAFO Minerals Annual Fees $791.00 <br /> User: sdt <br /> Payer: Keyah Grande-Ranch <br /> Due 11/21/17 <br /> Receipt Total: $791.00 <br /> Page 1 of 1 <br />