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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1977559 <br /> South Forty Recreation, LLC Receipt#: 26468 <br /> Steve Lindner Date: 03/30/2018 <br /> 759 Apache Drive <br /> Permit: M1977559 <br /> Canon City CO 812120000 <br /> MethodPayment Revenue Code Fee Description/Notes Amount <br /> Check#1100 4300-MTRO Minerals Technical Revision $216.00 <br /> User: sdt <br /> Payer: South Forty Recreation LLC <br /> TR05 <br /> Receipt Total: $216.00 <br /> Page 1 of 1 <br />