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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1978327 <br /> Jake Kauffman &Son, Inc. Receipt#: 23423 <br /> Mary Kauffman Date: 05/04/2017 <br /> 808 SCR 9E <br /> Permit: M 1978327 <br /> Loveland CO 805370000 <br /> MethodPayment Revenue Code • - <br /> Check#73022 4300-MAFO Minerals Annual Fees $791.00 <br /> User: MSR <br /> 2017 <br /> Receipt Total: $791.00 <br /> Page 1 of 1 <br />