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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1985112 <br /> Loloff Construction, Inc. Receipt#: 21588 <br /> Kelly Hodge Date: 06/03/2016 <br /> 801 8th Street, Suite 130 <br /> Permit: M1985112 <br /> Greeley CO 806310000 <br /> Payment Method Revenue Code Fee Description/Notes Amount <br /> Check#12613 4300-MTRO Minerals Technical Revision $216.00 <br /> TR02 <br /> Receipt Total: $216.00 <br /> Page 1 of 1 <br />