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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M2005067 <br /> Carrizo Stone, LLC Receipt#: 21424 <br /> Stephanie and Ray Sikes Date: 05/04/2016 <br /> 1425 County Road Q <br /> Permit: M2005067 <br /> Pritchett CO 810640000 <br /> Payment Method Rev[ e Code Fee Description/Notes Amount <br /> Check#2619 4300-MAFO Minerals Annual Fees $791.00 <br /> Receipt Total: $791.00 <br /> Page 1 of 1 <br />