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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1995017 <br /> Lee Roy and Marlene J Rothe Receipt#: 21954 <br /> Lee Roy Rothe Date: 08/08/2016 <br /> 19727 Factory St <br /> Permit: M1995017 <br /> Sterling CO 807510000 <br /> • • <br /> Check#107515 4300-MSOO Minerals Succession of Operators $144.00 <br /> Receipt Total: $144.00 <br /> RLIN CITY STERLING BANK COLORADO 82-244 107515 <br /> PO BOXX 4000 STERLING, <br /> G,CO 80751-0400 1070 <br /> ,,,,,,,� STERLING,CO 80751-0400 <br /> AC olorado T,eawe (970)522-9700 <br /> DATE: AMOUNT: CHECK: <br /> 8/3/2016 <br /> $144.00 �� 107515 <br /> VOID AFTER 60 DAYS <br /> PAY <br /> To Colorado Division of Reclamation, Mining and Safety <br /> THE <br /> ORDER <br /> OF <br /> Authorized Signature <br /> Page 1 of 1 <br />