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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2009010 <br />Grasser Construction & Paving, LLC <br />McCormick Excavation & Paving LLC <br />Receipt #: <br />Date: <br />Permit: <br />19391 <br />04/23/2015 <br />M2009010 <br />MethodPayment <br />Revenue CodeDescription/N7tes <br />Amount <br />021304bjc <br />4300-MSOO <br />Minerals Succession of Operators <br />$144.00 <br />M2009010 Grasser Construction paid by McCormick Excavation <br />&Paving LLC <br />Receipt Total: $144.00 <br />4 ORIGINAL CHECK HAS A COLORED BACKGROUND PRINTED ON WHITE PAPER AND A MICRO PRINT BORDER <br />e <br />Frontier Bank <br />MCCORMICK EXCAVATION & PAVING, LLC Lamar- Springfield - Burlington <br />30887 US HIGHWAY 24 82-97/1021 <br />STRATTON, CO 80836 <br />021304 <br />4/8/2015 <br />PAY TO THE $"144.00 <br />ORDER OF COLORA 0 DIVISION OF RECLAMATION <br />One Hund -F rand 00/100 DOLLARS <br />COLORADO DIVISION OF RECLAMATION <br />MINING & SAFETY <br />1313 SHERMAN STREET, ROOM 215 <br />DENVER, CO 80203 <br />- AUTHORIZED SIGNATURE <br />Page 1 of 1 <br />