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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1978102 <br /> Shipps Farms L.P. Receipt#: 21723 <br /> Debbie Shipps Date: 06/24/2016 <br /> 17164 WCR 100 <br /> Permit: M1978102 <br /> Nunn CO 806480000 <br /> MethodPayment Re Fee Description/Notes Amount <br /> Yenue Code <br /> Check#9088007! 4300-MAFO Minerals Annual Fees $323.00 <br /> Receipt Total: $323.00 <br /> Page 1 of 1 <br />