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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1982O75 <br /> Alvin Mosch - Patricia Mosch <br /> Receipt#: 33479 <br /> David Mosch Date: 12/08/2020 <br /> 3006 Forest Way Permit: M1982075 <br /> Evergreen CO 804390000 <br /> Method Rev enue Code Fee Description/Notes <br /> Check#1109 4300-MSOO Minerals Succession of Operators $115.00 <br /> User: SDT <br /> Payer: Mosch Exploration & Mining LLC <br /> SO01 <br /> Receipt Total: $115.00 <br /> Page 1 of 1 <br />