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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2015003 <br />The New Cache La Poudre Irrigating Company <br />33040 Railroad Ave <br />P O Box 104 <br />Lucerne CO 806460000 <br />3609bjc I 4300 -MAPP I Minerals Application Fees <br />M2015 -003 The New Cache La Poudre Irrigating Co <br />NEW CACHE LA POUDRE IRRIGATING CO. <br />33040 RAILROAD AVE. <br />P.O. BOX 104 <br />LUCERNE, CO 80646 <br />PH. (970) 352 -0222 <br />THE <br />OF <br />Division of Reclamation Mining and Safety <br />Receipt # <br />Date <br />Permit: <br />iEI:1'rl <br />01/30/2015 <br />M2015003 <br />$2,696.00 <br />Receipt Total: 1 $2,696.00 <br />Bank of Colorado <br />EATON, CO • bankofcolorado.com <br /> <br />1/6/2015 <br />* *2,696.00 <br />io Thousand Six Hundred Ninety-Six and <br />M <br /> <br />is <br />M <br />ffi <br />a` <br />DOLLARS <br />- <br />Division of Reclamation Mining and Safety <br />1313 Sherman St., Room 215 <br />Q <br />- <br />Denver, CO 80203 <br />�NIEMO <br />UTH IZEDSIGNATU <br />Page 1 of 1 <br />