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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M2000073 <br /> Shults Ranch LLLP Receipt#: 48623 <br /> Todd Shults Date: 12/30/2024 <br /> P O Box 2394 <br /> Permit: M2000073 <br /> Meeker CO 816410000 <br /> Payment Method Revenue Code Fee Description/Notes Amount <br /> Check#35047 4300-MSOO Minerals Succession of Operators $115.00 <br /> User: AHD <br /> Payer: Three Crown Ranch, LLC <br /> SO-3 (Balance Owed $29.00) <br /> Receipt Total: $115.00 <br /> Page 1 of 1 <br />