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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M2000156 <br /> el <br /> Coulson Excavating Company, Inc. Receipt#: 22914 <br /> Ken Coulson Date: 02/10/2017 <br /> 3609 North County Road 13 <br /> Permit: M2000156 <br /> Loveland CO 805380000 <br /> a • • • i • • s <br /> Check#50662 4300-MAFO Minerals Annual Fees $791.00 <br /> Due 03/05/17 <br /> Receipt Total: $791.00 <br /> Page 1 of 1 <br />