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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M2OO5O33 <br /> Coulson Excavating Company, Inc. Receipt#: 23184 <br /> Richard Coulson Date: 03/30/2017 <br /> 3609 North County Road 13 <br /> Permit: M2005033 <br /> Loveland CO 805380000 <br /> MethodPayment Revenue Code • • - <br /> Check#50933 4300-MAFO Minerals Annual Fees $791.00 <br /> User: sdt <br /> Due 10/06/16 <br /> Receipt Total: $791.00 <br /> Page 1 of 1 <br />