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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1978009 <br /> Receipt#: 23993 <br /> General Shale Brick, Inc. <br /> Harold Stickler Date: 08/09/2017 <br /> 1845 W. Dartmouth Ave. <br /> Permit: M1978009 <br /> Denver CO 801101308 <br /> CY' L'4137S-;:i4 <br /> Check#00944981 4300-MAFO Minerals Annual Fees $791.00 <br /> User: sdt <br /> Payer: General Shale <br /> Due 8/14/17 <br /> Receipt Total: $791.00 <br /> Page 1 of 1 <br />