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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1977168 <br />Colorado Quarries Inc <br />Bill Tezak <br />270 S 15th St <br />Canon City CO 812120000 <br />Receipt #: <br />Date: <br />Permit: <br />25568 <br />11/17/2017 <br />M 1977168 <br />Page 1 of 1 <br />Check #13158 <br />4300-MAFO <br />Minerals Annual Fees <br />$323.00 <br />User: sdt <br />Due 11/30117 <br />Receipt Total: <br />$323.00 <br />Page 1 of 1 <br />