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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1993041 <br /> CEMEX, Inc. Receipt#: 24165 <br /> Bradley Wilson Date: 09/08/2017 <br /> PO Box 529 <br /> Permit: M1993041 <br /> Lyons CO 805400000 <br /> Method Revenue Code Fee Description/Notes Amount <br /> Check#23389410 4300-MAFO Minerals Annual Fees $791.00 <br /> User: MSR <br /> Payer: CEMEX Materials LLC <br /> 2017 <br /> Receipt Total: $791.00 <br /> Page 1 of 1 <br />