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6'20 RECEIVED <br /> OCT 2 62011 <br /> DR' ICN OF RECLAMATION, Division of Reclamation, Mining, and Safety <br /> M a- & : AFETY-MINERALS <br /> dir Tom' Fee Receipt for M1974070 <br /> Lafarge West, Inc.c/o Lafarge North America I Receipt#: 25451 <br /> Christine Felz Date: 10/26/2017 <br /> 1687 Cole Blvd. <br /> Suite 300 Permit: M1974070 <br /> Golden CO 804010000 <br /> Payment Method Revenue Code Fee Description/Notes Amount <br /> Check#7300047386 4300-MAFO Minerals Annual Fees $791.00 <br /> �-tlser�SR <br /> C2015 <br /> Receipt Total: $791.00 <br /> Page 1 of 1 <br />