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Holcim (US) Inc. <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1977346 <br />W11111111I1I7 <br />6000024717 SD 14300-MAFO I Minerals Annual Fees <br />M1977-346 <br />Receipt #: <br />Date: <br />Permit: <br />20365 <br />10/06/2015 <br />M1977346 <br />791.00 <br />Receipt Total: 1 $791.00 <br />Page 1 of 1