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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for P2021011 <br /> Casey Evans Receipt#: 34311 <br /> Casey Evans Date: 05/27/2021 <br /> 700 Rosalie Rd <br /> Permit: P2021011 <br /> Bailey CO 804210000 <br /> MethodPayment Revenue Code Fee Description/Notes <br /> Check#19255708024 4300-PNOI Minerals Prospecting Application Fee/NOI $108.00 <br /> User: SDT <br /> Payer: Money Order <br /> Receipt Total: $108.00 <br /> Page 1 of 1 <br />