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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1983050 <br /> Phillips County <br /> Receipt#: 34181 <br /> Laura Schroetlin Date: 05/05/2021 <br /> 221 S. Interocean Ave. Permit: M1983050 <br /> Holyoke CO 807340000 <br /> wil <br /> Check#13862 4300-MAFO Minerals Annual Fees $468.00 <br /> User: SDT <br /> Payer: Board of Phillips County Commissioners <br /> "Remainder of 2021 Annual Fee Payment($323 of <br /> $791 e- paid)! <br /> Receipt Total: $468.00 <br /> Page 1 of 1 <br />