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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1977361 <br /> CEMEX, Inc. Receipt#: 22137 <br /> Bradley Wilson Date: 09/08/2016 <br /> PO Box 529 <br /> Permit: M1977361 <br /> Lyons CO 805400000 <br /> Check#2324912, 4300-MAFO Minerals Annual Fees $323.00 <br /> (due 9/8/2016) <br /> Receipt Total: $323.00 <br /> Page 1 of 1 <br />