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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M2O14O61 <br /> Schlosser Incorporated Receipt#: 31398 <br /> Levi Schlosser Date: 05/13/2020 <br /> 755 Hwy 385 <br /> Permit: M2014061 <br /> Burlington CO 808070000 <br /> Payment Method Revenue Code Fee Description/Notes Amount <br /> Check#5371 4300-MTRO Minerals Technical Revision $216.00 <br /> User: sdt <br /> TR01 <br /> L Receipt Total: $216.00 <br /> Page 1 of 1 <br />