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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M2006084 <br /> Connell Resources, Inc. Receipt#: 23219 <br /> Kevin Anderson Date: 04/11/2017 <br /> 7785 Highland Meadows Pkwy., Ste. 100 <br /> Permit: M2006084 <br /> Fort Collins CO 805280000 <br /> MethodPayment Revenue Code Fee Description/Notes Amount <br /> Check#2189889 4300-MSOO Minerals Succession of Operators $144.00 <br /> User: bjc <br /> Payer: Oldcastle SW Group, Inc. <br /> Receipt Total: $144.00 <br /> Controlled Disbursement sa-1278 2189889 <br /> Bank of America,N.R. 611 GA <br /> M � �°E Atlanta, Dekalb County,Georgia <br /> ""E` FOpR CORNER$ <br /> Imp � MA77RIAL S DATE CHECK NUMBER <br /> 03130117 2189889 $144.00 <br /> OLDCASTLE SW GROUP, INC. VOID IF NOT CASHED IN 180 DAYS <br /> 2350 South 1g00 West•Ogden,Utah 84401 OVER$10,000 REQUIRES TWO SIGNATURES <br /> Phone:(801)731-1Ill •Fax:(801)731-8800 <br /> ***One hundred forty-four and xx/100 Dollars*** <br /> All � <br /> Division of Reclamation, Mining and Safety <br /> 1313 Sherman St Rm 215 ` <br /> PAY Denver CO 80203 ' `�'� <br /> TO THE <br /> ORDER <br /> O F I� ( (p-t� ` Now <br /> Page 1 of 1 <br />