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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1978102 <br /> Shipps Farms L.P. Receipt#: 26727 <br /> Debbie Shipps Date: 05/18/2018 <br /> 17164 WCR 100 <br /> Permit: M1978102 <br /> Nunn CO 806480000 <br /> MethodPayment Revenue Code Fee Descriotion/Notes Amount <br /> Check#1443 4300-MTRO Minerals Technical Revision $216.00 <br /> User: sdt <br /> Payer: JL Cozad Trucking James L Cozad <br /> TRO1 <br /> Receipt Total: $216.00 <br /> Page 1 of 1 <br />