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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1978210 <br /> Weld County Receipt#: 22478 <br /> Clay Kimmi Date: 11/08/2016 <br /> 1111 H St. <br /> P.O. Box 758 Permit: M1978210 <br /> Greeley CO 806320000 <br /> Check#3318138 4300-MTRO Minerals Technical Revision $216.00 <br /> TR04 <br /> Receipt Total: $216.00 <br /> Page 1 of 1 <br />