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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1991080 <br /> Russell Van Egmond Receipt#: 37778 <br /> Cathleen Van Egmond Date: 03/29/2022 <br /> 546 Doe Valley Rd. <br /> Permit: M1991080 <br /> Guffey CO 808200000 <br /> se • � • i � e s o i <br /> Check#13201 4300-MCNV Minerals Conversions $2,229.00 <br /> User: AHD <br /> Payer: Van Egmond Services Inc <br /> CN-1 Partial payment amount Due $467.00 <br /> Receipt Total: $2,229.00 <br /> Page 1 of 1 <br />