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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M2019037 <br /> Cheyenne County Receipt#: 28846 <br /> Marcy Brossman Date: 06/18/2019 <br /> 51 S 1 st Street <br /> PO Box 567 Permit: M2019037 <br /> Cheyenne Wells CO 808100000 <br /> MethodPayment Revenue Code Fee Description/Notes Amount <br /> Check#85416 4300-MAPP Minerals Application Fees $1,258.00 <br /> User: sdt <br /> Receipt Total: $1,258.00 <br /> Page 1 of 1 <br />