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Division of Reclamation, Mining, and Safety <br />Fee Receipt for Minerals <br />L.G. Everist, Inc. <br />Lynn Shults <br />7321 E. 88th Avenue, Suite 200 <br />Henderson CO 806400000 <br />Cash 14400 1 Mineral Copies <br />M- 1977 -522 Star Ready Mix - Herman Feit Pit <br />Receipt # <br />Date <br />Permit <br />15930 <br />09/09/2013 <br />Minerals <br />$5.00 <br />Receipt Total: 1 $5.001 <br />Page 1 of 1 <br />