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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2002096 <br />Holcim (US) Inc. <br />6000025044 SD- 14300-MAFO I Minerals Annual Fees <br />M2002-096 <br />Receipt #: <br />Date: <br />Permit: <br />20415 <br />10/15/2015 <br />M2002096 <br />791.00 <br />Receipt Total: 1 $791.00 <br />Page 1 of 1