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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M2000034 <br /> Martin Marietta Materials, Inc. Receipt#: 21595 <br /> Julie Mikulas Date: 06/06/2016 <br /> 1800 N. Taft Hill Road <br /> Permit: M2000034 <br /> Fort Collins CO 805210000 <br /> MethodPayment Revenue Code Fee Description/Notes Amount <br /> Check#01681641 4300-MAFO Minerals Annual Fees $791.00 <br /> One check, FOUR permits(TOT: $3,164.00) <br /> Receipt Total: $791.00 <br /> Page 1 of 1 <br />