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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1997007 <br /> 11 The Denver Brick Company Receipt#: 22861 <br /> Robert Tibbetts Date: 01/30/2017 <br /> 401 Prairie Hawk Dr. <br /> Permit: M 1997007 <br /> Castle Rock CO 801090000 <br /> MethodPayment Revenue Code �Qq 1,aid By • Amount <br /> Check#0161562 4300-MAFO Minerals Annual Fees $791.00 <br /> Ace Brick Company <br /> 2017 check#01615621 <br /> Receipt Total:T $791.00 <br /> Page 1 of 1 <br />