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Division of Reclamation, Mining, and Safety <br />Fee Receipt for Minerals <br />Broken Arrow Investments, LLC <br />JC York <br />699 N 1 st Ave <br />Greeley CO 806310000 <br />9011 <br />4300-02 1 Minerals Application Fees <br />M-2008-017, pd by Dust & Dirt Excavating LLC <br />Receipt #: <br />Date: <br />Permit: <br />2761 <br />03/25/2008 <br />Minerals <br />$2,696.00 <br />Receipt Total: $2,696.00 <br />Page 1 of 1