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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1985026 <br /> Coulson Excavating Company, Inc. Receipt#: 25745 <br /> Richard Coulson Date: 12/28/2017 <br /> 3609 North County Road 13 <br /> Permit: M1985026 <br /> Loveland CO 805380000 <br /> MethodPayment Revenue Code • • • Amount <br /> Check#52758 4300-MTRO Minerals Technical Revision $216.00 <br /> User: sdt <br /> TR06 <br /> Receipt Total: $216.00 <br /> Page 1 of 1 <br />