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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M2023021 <br /> W.F. Ratliff Receipt#: 42001 <br /> W Ratliff Date: 06/21/2023 <br /> P.O. Box 38 <br /> Permit: M2023021 <br /> Pritchett CO 810640000 <br /> MethodPayment Revenue Code • • • Amount <br /> Check#1143 4300-MAPP Minerals Application Fees $1,258.00 <br /> User: AHD <br /> Payer: William F. Ratliff <br /> Receipt Total: $1,258.00 <br /> Page 1 of 1 <br />