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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1987092 <br /> Jordan C. and Jone L. Burdick Receipt#: 22853 <br /> Jordan Burdick Date: 01/30/2017 <br /> 2707 Glade Rd Permit: M1987092 <br /> Loveland CO 805399227 <br /> Payment Method Revenue Code Fee Description/Paid By Other Entity/Notes Amount <br /> Check#1087 4300-MAFO Minerals Annual Fees $323.00 <br /> Jordan C Burdick Jone L Burdick <br /> Due 08/25/16 <br /> Receipt Total: $323.00 <br /> Page 1 of 1 <br />