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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1988090 <br /> 5A Aggregate LLC Receipt#: 22639 <br /> Robin Varelman Date: 12/08/2016 <br /> 31015 County Road K <br /> Permit: M1988090 <br /> Brush CO 807230000 <br /> MethodPayment Other <br /> Check#100 4300-MAFO Minerals Annual Fees $791.00 <br /> Due 12/07/16 <br /> Receipt Total: $791.00 <br /> Page 1 of 1 <br />