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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1987092 <br />805399227 CO Loveland <br />2707 Glade Rd <br />Jordan Burdick <br />Receipt #: <br />08/28/2017 <br /> 24090 <br />Date: <br />M1987092Permit: <br />Jordan C. and Jone L. Burdick <br />Fee Description/NotesRevenue Code Payment Method Amount <br />Check/Money Order $323.00 4300-MAF0 Minerals Annual Fees <br />User: bjc <br /> <br />Due 825/2016 – Fee Only <br />$323.00 Receipt Total: <br />Page 1 of 1