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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1979045 <br /> The Lakewood Brick and Tile Company Receipt#: 22962 <br /> Thomas Murray Date: 02/18/2017 <br /> 1325 Jay St <br /> Permit: M1979045 <br /> Lakewood CO 802142052 <br /> Check#134694 4300-MAFO Minerals Annual Fees $791.00 <br /> Summit Brick Company <br /> Due 02/28/17 <br /> Receipt Total: $791.00 <br /> Page 1 of 1 <br />