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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1985135 <br /> Larimer County Receipt#: 31412 <br /> Justin Hersh Date: 05/15/2020 <br /> P.O. Box 1190 <br /> Permit: M1985135 <br /> Fort Collins CO 805220000 <br /> . e • . • ,. <br /> Check#421399 4300-MTRO Minerals Technical Revision $216.00 <br /> User: sdt <br /> TR-Chk arrived before application. <br /> Receipt Total: $216.00 <br /> Page 1 of 1 <br />