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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1997OO7 <br />The Denver Brick Company <br />Robert Tibbetts <br />401 Prairie Hawk Dr. <br />Castle Rack CO 801090000 <br />Receipt #: <br />Date: <br />Permit: <br />21944 <br />08/05/2016 <br />M1997007 <br />__ Receipt Total: $791.00 <br />Page 1 of 1 <br />Check #0156776 <br />4300-MAFO <br />Minerals Annual Fees <br />2015 <br />$791.00 <br />__ Receipt Total: $791.00 <br />Page 1 of 1 <br />