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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1977300 <br /> Colorado Legacy Land, LLC Receipt#: 35487 <br /> Jim Harrington Date: 07/06/2021 <br /> 12150 E Briarwood Ave - Suite 135 Permit: M1977300 <br /> Centennial CO 801120000 <br /> Method Revenue Code Fee Description/Notes Amount <br /> Check#1108 4300-MAMD Minerals Amendment Fees $4,025.00 <br /> User: SDT <br /> AM06 <br /> Receipt Total: $4,025.00 <br /> Page 1 of 1 <br />