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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M2011014 <br /> Dale and Ellen Schmidt Receipt#: 27717 <br /> Dale Schmidt Date: 11/08/2018 <br /> 472 Meadows Dr. <br /> Permit: M2011014 <br /> Pagosa Springs CO 811470000 <br /> Payment Method Revenue Code Fee Description/Notes Amount <br /> Check#3684 4300-MTRO Minerals Technical Revision $216.00 <br /> User: bjc <br /> Payer: Just Like the Master, Inc. <br /> Receipt Total: J $216.00 <br /> Just Like the Master, Inc. 3684 <br /> 472 Meadows Dr 82-244/1070 <br /> Pagosa Springs,CO 81147 /1/5 <br /> !/r �� I <br /> (970)731-9505 / ( J SS <br /> s4Y "TO 111 L { /l, / r <br /> ORDER OF CUL UJC-Lt(� 6/ Vis) '1 Q ' `Pe/Qi aiW/_ <br /> (0 <br /> 4, i d• 1 AA L • i, � <br /> Bank of Colorado <br /> 205 Country Center Drive <br /> Pagosa Spnngs,CO 81147 <br /> (970)7476_ ^ /' <br /> • <br /> FC)lj r� I • <br /> _ - <br /> Page 1 of 1 <br />