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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1985008 <br />Hard Rock Paving and Redi-Mix, Inc. Receipt#: 25466 <br />John Ary Date: 10/30/2017 <br />839 Mackenzie Ave <br />Permit: M1985008P.O. Box 165 <br />Canon City CO 812150000 <br />Check#015069 4300-MCNV Minerals Conversions 2,696.00 <br />User: sdt <br />Payer: Fremont Paving and Redi-Mix, Inc <br />CNO1 <br />Receipt Total:2,696.00 <br />Page 1 of 1