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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1985023 <br />Duane E. Hollenbeck <br />000000000 <br />Receipt #: 13240 <br />Date: 07/06/2012 <br />Permit: M1985023 <br />Receipt Total: I $323.00 <br />. -cords indicate $323.00 is due. <br />rermit No.: M- 1985 -023 <br />Operation Name: Hollenbeck Pit <br />Anniversary Date: May 6, 2012 Gk'A <br />Total: $323.00 (Due on or before ) <br />If your records indicate different facts than those stated above please inform the Division no later than uJ ly 1, <br />2012. If you receive this notice and you have mailed your payment and report to the Division, please disregard this <br />notice. The Division appreciates your prompt attention in this matter. <br />Any questions concerning your annual report or fee, may be directed to Christine Brookshire at (303) 866 -3567 <br />ext. 8132 or Jim Dupler (303) 866 -3567 ext. 8119. rI <br />Make checks payable to the Division of Reclamation, Mining and Safety. RECEIVED <br />JL1. G '5 2 G 47 <br />Office of DMSiOn of ' Office of <br />Mined Wn4RtiAifbSrmgbbhnal Notice, May 2012\M- 1985- 023_F8.do(E)enver • Grand Junction • Durango 1111111111111111ift & Active and Inactive Mines <br />3786 <br />4300 -01 <br />Minerals Annual Fees <br />M- 1985 -023, CMB <br />$323.00 <br />Receipt Total: I $323.00 <br />. -cords indicate $323.00 is due. <br />rermit No.: M- 1985 -023 <br />Operation Name: Hollenbeck Pit <br />Anniversary Date: May 6, 2012 Gk'A <br />Total: $323.00 (Due on or before ) <br />If your records indicate different facts than those stated above please inform the Division no later than uJ ly 1, <br />2012. If you receive this notice and you have mailed your payment and report to the Division, please disregard this <br />notice. The Division appreciates your prompt attention in this matter. <br />Any questions concerning your annual report or fee, may be directed to Christine Brookshire at (303) 866 -3567 <br />ext. 8132 or Jim Dupler (303) 866 -3567 ext. 8119. rI <br />Make checks payable to the Division of Reclamation, Mining and Safety. RECEIVED <br />JL1. G '5 2 G 47 <br />Office of DMSiOn of ' Office of <br />Mined Wn4RtiAifbSrmgbbhnal Notice, May 2012\M- 1985- 023_F8.do(E)enver • Grand Junction • Durango 1111111111111111ift & Active and Inactive Mines <br />