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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M2000151 <br /> Fremont Paving&Red!-Mix, Inc. Receipt#: 23136 <br /> John Ary Date: 03/21/2017 <br /> P.O. Box 841 <br /> Permit: M2000151 <br /> Canon City CO 812150000 <br /> Payment Method Revenue Code Fee Description/Notes Amount <br /> Check#012192 4300-MAFO Minerals Annual Fees $791.00 <br /> User:sdt <br /> Payer: Fremont Paving&Redi Mix, Inc <br /> Due 04/18/17 <br /> Receipt Total: $791.00 <br /> Page 1 of 1 <br />