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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M199O112 <br /> Fremont Paving 8• Redi-Mix, Inc. Receipt#: 21662 <br /> Jodi Ricker Date: 06/16/2016 <br /> 839 MacKenzie Avenue <br /> Permit: M1990112 <br /> Canon City CO 812120000 <br /> MethodPayment Revenue Code • • • Amount <br /> Check#090712 4300-MAFO Minerals Annual Fees $791.00 <br /> 2016 <br /> Receipt Total: $791.00 <br /> Page 1 of 1 <br />