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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1991082 <br /> Estate of Frank Laughrey Receipt#: 27431 <br /> Jay Baker Date: 09/17/2018 <br /> P O. Box 7258 <br /> Permit: M1991082 <br /> Woodland Park CO 808630000 <br /> , . Revenue Code F <br /> 98110liescriptilon/Notes <br /> Check#18232 4300-MSOO Minerals Succession of Operators $144 00 <br /> User bjc <br /> Payer- Materials Management Co <br /> Receipt Total: $144.00 <br /> -18232 <br /> 61100mm nity Banks <br /> MATERIALS MANAGEMENT CO of Colorado ®RRuWUon for <br /> PO BOX 7258 877.877.0395 eobnks.com <br /> WOODLAND PARK,CO 80863 82-201/1021 <br /> (719)686-7517 9/7/2018 <br /> PAY TO <br /> 0 <br /> m <br /> ORDER OFE Division of Reclamation, Mining & Safety $ —144.00 <br /> I **** ***irA-k#-!c#7r#-k*kkA***irR9rirkkir#irRIrt*fk*hk**#r*irM�*ik@-k* m <br /> 1+ One Hundred Forty-Four and 00/100 DOLLARS <br /> 1 Division of Reclamation, Mining & Safety N <br /> 1313 Sherman Street- Room 215 8 <br /> Denver, CO 80203 <br /> MEMO <br /> SIGNATURE <br /> — Application Fee- Permit# M-1991-082 -Tiger Timbeir <br /> Page 1 of 1 <br />