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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1987092 <br /> Jordan C. and Jone L. Burdick Receipt#: 24091 <br /> Jordan Burdick Date: 08/28/2017 <br /> 2707 Glade Rd <br /> Permit: M1987092 <br /> Loveland CO 805399227 <br /> Payment Method Revenue Code Fee Description/Notes Amount <br /> Check#5708 4300-MSOO Minerals Succession of Operators $144.00 <br /> User: bjc <br /> Payer: Blue Mountain Stone Inc <br /> Receipt Total: $144.00 <br /> BLUE MOUNTAIN STONE INC BANK OF THE WEST <br /> Lyons <br /> ACCOUNTS PAYABLE P.O.Box 920-Lyons,CO 80540 <br /> 4168 UTE HWY 1-800-488-2265 <br /> LONGMONT,CO 80503-9125 <br /> PAY One Hundred Forty-four Dollars &00 Cents <br /> DATE AMOUNT <br /> 8/23/2017 ""*"'1144.00 <br /> TO THE Division of Reclamation, Mining and Safety <br /> ORDER <br /> OF: 1313 Sherman Street <br /> Room 215 <br /> Denver CO 80203 M i C7Og7--- <br /> Page 1 of 1 <br />