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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M2012027 <br /> B 8• L Cogan, L.L.C. Receipt#: 23298 <br /> Laurie Jacobson Date: 04/19/2017 <br /> 24800 US. Hwy 285 S. Permit: M2012027 <br /> Buena Vista CO 812110000 <br /> MethodPayment Revenue Code • • • Amount <br /> Check#2093 4300-MAFO Minerals Annual Fees $791.00 <br /> User: sdt <br /> Payer: McQuaid LLC Laurie A Jacobson Brian Lee <br /> Cogan <br /> Due 05/28/17 <br /> Receipt Total: $791.00 <br /> Page 1 of 1 <br />