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Division of Reclamation, Mining, and Safety <br />Fee Receipt for P2015007 <br />Thomas G. Miller <br />Thomas Miller <br />5260 Garrison St., #12 <br />Arvada CO 800020000 <br />Receipt #: <br />Date: <br />Permit: <br />25618 <br />11/29/2017 <br />P2015007 <br />Tay me nt Method od Fee D, Amount <br />Check #2418 4300-MAMD Minerals Amendment Fees $86.00 <br />User: sdt <br />Payer: Colorado Milling Company LLC Operating <br />Account <br />AM01 <br />Receipt Total: $86.00 <br />Page 1 of 1 <br />