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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M2006078 <br /> Flatiron Constructors, Inc. Receipt#: 22667 <br /> Kevin Powell Date: 12/15/2016 <br /> 385 Interlocken Crescent <br /> #900 Permit: M2006078 <br /> Broomfield CO 800210000 <br /> Payment Method Revenue Code Fee Description/Paid By Other Entity/Notes Amount <br /> Check#1674 4300-MAFO Minerals Annual Fees $504.00 <br /> Kevin W. Powell Kristin E. Powell <br /> Due 12/15/16 <br /> Receipt Total: $504.00 <br /> Page 1 of 1 <br />