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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1977053 <br /> Asphalt Constructors, Inc. Receipt#: 22699 <br /> Todd Stockebrand Date: 12/23/2016 <br /> 7040 Highway 160 West <br /> Permit: M1977053 <br /> Alamosa CO 811010000 <br /> Payment Method Revenue Code Fee Description/Paid By Other Entity/Notes Amount <br /> Check#036113 4300-MAFO Minerals Annual Fees $791.00 <br /> Due 12/23/16 <br /> Receipt Total: $791.00 <br /> Page 1 of 1 <br />