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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M2002053 <br /> John R. Kurtzer Receipt#: 22600 <br /> John Kurtzer Date: 12/02/2016 <br /> 24463 CR 11 <br /> Permit: M2002053 <br /> Haxtun CO 807310000 <br /> Payment Method Revenue Code Fee Description/Paid By Other Entity/Notes Amount <br /> Check#6249 4300-MAFO Minerals Annual Fees $323.00 <br /> Ryan J Kurtzer Brittany Kurtzer <br /> Due 11/27/16 <br /> Receipt Total: $323.00 <br /> Page 1 of 1 <br />