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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1977344 <br /> H <br /> Receipt#: 25368 <br /> olcim (US) Inc. <br /> Dominic Bellino Date: 10/13/2017 <br /> 3500 Highway 120 <br /> Permit: M1977344 <br /> Florence CO 812260000 <br /> MethodPayment Revenue Code • • • Amount <br /> Check#6000043684 4300-MAFO Minerals Annual Fees $791.00 <br /> User: MSR <br /> 2017 <br /> Receipt Total: $791.00 <br /> Page 1 of 1 <br />