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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1979094HR <br />Cotter Corporation Receipt#: 25580 <br />Scott Pottorff Date: 11/21/2017 <br />P.O. Box 700 <br />Permit:M1979094HR <br />Nucla CO 814240000 <br />payment id i nue Code x .. .... <br />k_.a R.._ , .. M .. .. <br />Check#243573 4300-MAFO Minerals Annual Fees 1,150.00 <br />User: sdt <br />Due 12/14/17 <br />Receipt Total:1,150.00 <br />Page 1 of 1