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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1999069 <br /> Jake Kauffman &Son, Inc. Receipt#: 22737 <br /> Mary Kauffman Date: 01/09/2017 <br /> 808 S. County Road 9E Permit: M1999069 <br /> Loveland CO 805370000 <br /> Payment Method Revenue Code Fee Description/Paid By Other Entity/Notes Amount <br /> Check#72732 4300-MAFO Minerals Annual Fees $791.00 <br /> Due 01/05/17 <br /> Receipt Total: $791.00 <br /> Page 1 of 1 <br />