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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1985O26 <br /> Coulson Excavating Company, Inc. Receipt#: 22636 <br /> Richard Coulson Date: 12/08/2016 <br /> 3609 North County Road 13 <br /> Permit: M1985026 <br /> Loveland CO 805380000 <br /> MethodPayment Other <br /> Check#50295 4300-MAFO Minerals Annual Fees $791.00 <br /> Due 01/31/17 <br /> Receipt Total: $791.00 <br /> Page 1 of 1 <br />