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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1991035 <br /> Lafarge West, Inc. c/o Lafarge North America I Receipt#: 22514 <br /> Christine Felz Date: 11/15/2016 <br /> 1687 Core Blvd. Permit: M1991035 <br /> Suite 300 <br /> Golden CO 804010000 <br /> • a • r °s- - ' r o e s s <br /> Check#7300019! 4300-MAFO Minerals Annual Fees $791.00 <br /> Due 11/05/16 <br /> Receipt Total: $791.00 <br /> Page 1 of 1 <br />