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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1994053 <br /> Base Products Receipt#: 22377 <br /> Tony Appelhanz Date: 10/19/2016 <br /> 62339 W LaSalle Rd <br /> Permit: M1994053 <br /> Montrose CO 814030000 <br /> .. riXeler <br /> #W � • • <br /> Check#404 4300-MSOO Minerals Succession of Operators $144.00 <br /> Doug Flowers <br /> Receipt Total: $144.00 <br /> THE REDTHERMO SECURED IN THE LOWER CORNER OF THIS CHECK MUST FADE TEMPORARILY WHEN WARMED SYTOUCH OR FRICTION.SEE BACK FOR ADDITIONAL FEATURES. <br /> DOUG A. FLOWERS 000404 <br /> BRODY FLOWERS <br /> 20965 HWY 550 DATE D <br /> MONTROSE,CO 81403 66-156/531 <br /> 2079980012794 <br /> PAY <br /> THE OR <br /> ORDER OF <br /> D d American AgCredit DOLLARS s <br /> v 'Moeryf rAgnculWre' p c^ <br /> EQ cG9 <br /> Payable-4865 i� Q <br /> Payable throuy►yY� / _A o <br /> MEMO t�'�/ Q�� <br /> Page 1 of 1 <br />