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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M2005066 <br /> Asphalt Paving Company Receipt#: 21986 <br /> Mark Martin Date: 08/11/2016 <br /> 14802 W 44th Ave <br /> Permit: M2005066 <br /> Golden CO 894030000 <br /> Payment Method Revenue Code 4ok Fee Description/Notes Amount <br /> Check#0014422: 4300-MAFO Minerals Annual Fees $791.00 <br /> Receipt Total: $791.00 <br /> Page 1 of 1 <br />