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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1978116 <br /> Cotter Corporation Receipt#: 22253 <br /> Jim Sheridan Date: 09/27/2016 <br /> P.O. Box 700 <br /> Permit: M1978116 <br /> Nucla CO 814240000 <br /> as as � : a a a • <br /> Check#241908 4300-MAFO Minerals Annual Fees $1,150.00 <br /> Due 10/30/16 <br /> Receipt Total: $1,150.00 <br /> Page 1 of 1 <br />