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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1978009 <br /> General Shale Brick, Inc. Receipt#: 21999 <br /> Harold Stickler Date: 08/16/2016 <br /> 1845 W. Dartmouth Ave. <br /> Permit: M1978009 <br /> Denver CO 801101308 <br /> Payment • • Revenue Code • • • Amount <br /> Check#0092154; 4300-MAFO Minerals Annual Fees $791.00 <br /> Receipt Total: $79,-00 <br /> Page 1 of 1 <br />