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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2012024 <br />01 Burr Oak Investments, LLC <br />Receipt #: 28637 <br />Richard Hansen Date: 05/14/2019 <br />P O Sox 492 <br />Permit: M2012024 <br />Delta CO 814160000 <br />._ Description/Notes <br />Check #14685 4300-MSOO Minerals Succession of Operators $144.00 <br />User: sdt <br />Payer: Whitewater Building Materials Corporarion <br />S002 <br />Receipt Total: $144.00 <br />Page 1 of 1 <br />