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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1990144 <br /> R. Lewis Fillmore Receipt#: 37169 <br /> Ron Fillmore Date: 11/09/2021 <br /> 63985 Highway 96 E <br /> Permit: M1990144 <br /> Boone CO 810250000 <br /> Check#1004 4300-MSOO Minerals Succession of Operators $144.00 <br /> User: AHD <br /> Payer: PFM Consulting, LLC <br /> SO-4 <br /> Receipt Total: $144.00 <br /> Page 1 of 1 <br />