Laserfiche WebLink
Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1980049 <br /> =Fork <br /> Receipt#: 22901 <br /> Date: 02/07/2017 <br /> Permit: M1980049 <br /> CO 814150000 <br /> • • . . - <br /> Check#704 4300-MSOO Minerals Succession of Operators <br /> $29.00 <br /> Hart Ranch <br /> Receipt Total: $29.00 <br /> H oAR2 RANCH-5299 704 <br /> 3500 CLEAR FORK RD 82-170/1021 <br /> CRAWFORD,CO.81415 �} /3 /aZ0/ <br /> DATES <br /> PAY TO THE C d/� t� �.U. 2C�Cf Q N1Lt,T'I`C711�'�• W a • OD ORDER TH // <br /> •�tLARS LJo�i�ne <br /> First State Bank of Color <br /> C—torC,CO 81415 �+Fe� <br /> MEMO lrM r. M��0� P�% - ------NP <br /> Page 1 of 1 <br />