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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1995008 <br /> Fremont Paving & Redi-Mix, Inc. Receipt#: 21371 <br /> Jordan Sasser Date: 04/28/2016 <br /> P.O. Box 841 <br /> Permit: M1995008 <br /> Canon City CO 812150000 <br /> MethodPayment Revenue Code Fee Description/Note%...,,,,,,. Amount <br /> Check#090322 4300-MAFO Minerals Annual Fees $791.00 <br /> 2016 <br /> Receipt Total: $791.00 <br /> Page 1 of 1 <br />