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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1980233 <br /> Costilla County Receipt#: 25754 <br /> Christopher Rodriguez Date: 01/03/2018 <br /> P.O. Box 130 <br /> Permit: M1980233 <br /> San Luis CO 811520000 <br /> Payment,Method, RdVen66 Code • • • Amount <br /> Check#12312 4300-MAFO Minerals Annual Fees $323.00 <br /> User: salt <br /> Payer: Costilla County Road & Bridge Accounts <br /> Payable <br /> Due 12/11/17 <br /> Receipt Total: $323.00 <br /> Page 1 of 1 <br />