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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2010043 <br />Ritchey's Redi Mix & Precast Inc. <br />Chamberlain Enterprises LLC <br />36415 US hwy 385 <br />Wray CO 807580000 <br />Receipt #: <br />Date: <br />Permit: <br />19145 <br />03/18/2015 <br />M2010043 <br />MethodPayment <br />Revenue Code <br />3408bjc <br />4300-MSOO <br />Minerals Succession of Operators <br />M2010-043 paid by Chamberlain Enterprises LLC <br />$144.00 <br />Receipt Total: 1 $144.00 <br />CHAMBERLAIN ENTERPRISES, LLC Wray State Bank 3408 <br />PO Box 277 <br />DBA CHAMBERLAIN CONCRETE Wray, CO 80758 <br />970-332-4355 82-293/1021 <br />36415 US HWY 385 02/23/2015. `/ Y <br />Wray, CO 80758 m <br />PAY TO THE Division of Reclamation Mining and Safety 144.00 <br />ORDER OF---- <br />One <br />F One hundred forty-four and 00l100"*"4:#***..**x*,**,:***#**�''`*"""_"*"DOLLARS <br />MEMO <br />Division of Reclamation Mining and Safety <br />1313 SHERMAN ST, ROOM 215 <br />DENVER, CO 80203 USA <br />mIU <br />0 <br />m <br />LL <br />AUTHOREED SIGNATURE <br />cn <br />N <br />Page 1 of 1 <br />