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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1984076 <br /> General Shale Brick, Inc. Receipt#: 22002 <br /> Harold Stickler Date: 08/16/2016 <br /> 1845 W. Dartmouth Ave. Permit: M1984076 <br /> Denver CO 801101308 <br /> MethodPayment Revenue Code • • • Amount <br /> Check#0092155 4300-MAFO Minerals Annual Fees $791.00 <br /> Receipt Total: $791.00 <br /> Page 1 of 1 <br />