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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M2012016 <br /> 01 Puckett Land Company Receipt#: 23733 <br /> Chuck Whiteman Date: 06/27/2017 <br /> 5460 S. Quebec St., Suite 250 Permit: M2012016 <br /> Greenwood Village CO 801110000 <br /> • • Revenue Co", 'Oie Diiicriiptl�•n/!Nlotes • <br /> Check#2031966 4300-MAFO Minerals Annual Fees $504.00 <br /> User: sdt <br /> Due 6/27/17 <br /> Receipt Total: $504.00 <br /> Page 1 of 1 <br />