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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M2018053 <br /> Titan Au, Inc. Receipt#: 27725 <br /> Mindy Miller Date: 11/09/2018 <br /> 1935 65th Avenue <br /> Suite A Permit: M2018053 <br /> Greeley CO 806340000 <br /> Payment Method Revenue Code Fee Description/Notes Amount <br /> Check#6010 4300-MAPP Minerals Application Fees $2,156.00 <br /> User: bjc <br /> Payer: Miller Family Investments <br /> Receipt Total: I $2,156.00 <br /> COLORADO EAST BANK&TRUST 6010 <br /> LASALLE,CO 80645 <br /> 82-157/1021 <br /> MILLER FAMILY INVESTMENTS <br /> 428 N 2ND ST. <br /> • SALLE,CO 80645 11/7/2018 <br /> PH.970-2842074 <br /> PAY TO THE DRMS $ **2,156'00 <br /> ORDER OF <br /> Two Thousand One Hundred Fifty-Six and 00/100 *********** DOLLARS f <br /> DRMS RECEIVED <br /> Nit NOV 00 2018 <br /> MEMO <br /> Titan Au _. _ -*vete <br /> (]� '1E 'Fterianlatlon, y SR, DSIGNATURE <br /> wittyi - <br /> Page 1 of 1 <br />