Laserfiche WebLink
Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1984040 <br /> Fi <br /> a L Chartier Receipt#: 39562 <br /> Larry Chartier Date: 08/22/2022 <br /> 21305 Road 28.5 <br /> Permit: M1984040 <br /> Brush CO 807230000 <br /> Paymentmethod 0. Revenue Codrj� Fee Description/Notes MIP Amount_,M <br /> Check#7071 4300-MAFO Minerals Annual Fees $323.00 <br /> User: AHD <br /> Annual Fee- Replace NSF Payment <br /> Check#7071 4300-05 Minerals Miscellaneous $25.00 <br /> User: AHD <br /> NSF Fee <br /> Receipt Total: $348.00 <br /> Page 1 of 1 <br />