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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1992054 <br /> LBCR, LLC Receipt#: 21974 <br /> Todd Fisher Date: 08/10/2016 <br /> 1440 Blue Sage Ct. <br /> Permit: M1992054 <br /> Boulder CO 803050000 <br /> MethodPayment Revenue Code Fee Description/Notes Amount <br /> Check#100437 4300-MAFO Minerals Annual Fees $791.00 <br /> 2016 <br /> Receipt Total: $791.00 <br /> Page 1 of 1 <br />