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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M2003030 <br /> Joseph L. Dorris Receipt#: 23465 <br /> Joseph Dorris Date: 05/11/2017 <br /> 2920 Cedar Heights Dr. <br /> Permit: M2003030 <br /> Colorado Springs CO 809040000 <br /> Check#8867 4300-MAFO Minerals Annual Fees $259.00 <br /> User: MSR <br /> Payer: Pinnacle 5 Minerals LLC/Joseph L. or Susan <br /> M. Dorris <br /> 2017 <br /> Receipt Total: $259.00 <br /> Page 1 of 1 <br />