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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1977347 <br /> Holcim (US) Inc. Receipt#: 25348 <br /> Derrick Dease Date: 10/11/2017 <br /> 3500 Highway 120 <br /> Permit: M1977347 <br /> Florence CO 812260000 <br /> Payment Method Revenue Code Fee Description/Notes Amount <br /> Check#6000043716 4300-MAFO Minerals Annual Fees $791.00 <br /> User: MSR <br /> 2017 <br /> Receipt Total: $791.00 <br /> Page 1 of 1 <br />