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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M2O13O52 <br /> Jean Marie Cowman Receipt#: 40046 <br /> Jean Cowman Date: 12/07/2022 <br /> 1065 S. Woodland Ave. #1 <br /> Permit: M2013052 <br /> Woodland Park CO 808630000 <br /> Check# 4300-MSOO Minerals Succession of Operators $115.00 <br /> User: SLB <br /> Payer: Pinnacle 5 Minerals LLC- Joseph L. or Susan <br /> M. Dorris <br /> SO1 <br /> Receipt Total: $115.00 <br /> Page 1 of 1 <br />