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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1981058 <br /> Thomas F& Ginger L Latham Receipt#: 26669 <br /> Thomas Latham Date: 05/04/2018 <br /> P.O. Box 66 <br /> Permit: M1981058 <br /> DeBeque CO 816300000 <br /> MethodPayment Revenue e • - D- ® • • Amouft <br /> Check#017284 4300-MTCO Minerals Temporary Cessation $144.00 <br /> User: sdt <br /> Payer: Kirkland Construction LLLP <br /> TC01 <br /> Receipt Total: $144.00 <br /> Page 1 of 1 <br />