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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1997027 <br />Rocky Mountain Aggregate & Construction, L <br />000000000 <br />Receipt #: 21080 <br />Date: 03/03/2016 <br />Permit: M1997027 <br />Payment Method Revenue Code <br />Fee Description/Notes <br />Amount <br />1400bjc <br />4300-MSOO <br />Minerals Succession of Operators <br />M-1997-027 SO to Gray Rock Aggregate Company LLC paid by <br />Black Canyon Aggregate Inc <br />$144.00 <br />BLACK CANYON AGGREGATE, INC. <br />h 21561 GOVERNMENT SPRINGS RD, <br />N MONTROSE, CO 81403 <br />PAY TO THE <br />ORDER OF <br />Receipt Total: <br />$144.00 <br />TIMBERLINE BANK <br /> <br /> <br />2/25/2016 <br />CO Division of Reclamation, Mining Safety $ **144.00 <br />One Hundred Forty -Four and 00/100*************************************************************************************** <br />MEMO <br />Li <br />CO Division of Reclamation, Mining Safety <br />1313 Sherman Street, Room 215 <br />Denver, CO 80203 <br />rV. l 07Gl?'a 27 <br />DOLLARS <br />Page 1 of 1 <br />