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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M2014005 <br /> O'Rourke Excavating, Inc. Receipt#: 23082 <br /> Thomas O'Rourke Date: 03/10/2017 <br /> 140 Daniel Lane <br /> Permit: M2014005 <br /> South Fork CO 811540000 <br /> Check#1780 4300-MAFO Minerals Annual Fees $323.00 <br /> O'Rourke Excavating, Inc.12-13 <br /> Due 04/11/17 <br /> Receipt Total: $323.00 <br /> Page 1 of 1 <br />