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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2002096 <br />Holcim (US) Inc. <br />000000000 <br />6000004594 jwc 14300-01 1 Minerals Annual Fees <br />M- 2002 -096 <br />Receipt # <br />Date <br />Permit <br />16213 <br />10/17/2013 <br />M2002096 <br />$791.00 <br />Receipt Total: 1 $791.00 <br />Page 1 of 1 <br />