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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M20O8O17 <br /> Broken Arrow Investments LLC Receipt#: 31373 <br /> Kelly Hodge Date: 05/06/2020 <br /> 801 8th St., Ste. 130 Permit: M2008017 <br /> Greeley CO 806313903 <br /> Payment Method Revenue Code Fee Description/Notes Amount <br /> Check#6338 4300-MTRO Minerals Technical Revision $216.00 <br /> User: sdt <br /> Payer: J&T Consulting, Inc. <br /> TR04 <br /> Receipt Total: $216.00 <br /> • <br /> • <br /> • <br /> Page 1 of 1 <br />