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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1996O49 <br />Everist Materials, LLC <br />Russel Larsen <br />P.O. Box 1150 <br />Silverthorne CO 804980000 <br />Receipt #: <br />Date: <br />Permit: <br />25619 <br />11129/2017 <br />M1996049 <br />Page 1 of 1 <br />Check #178961 <br />4300-MAFO <br />Minerals Annual Fees <br />$791.00 <br />User: sdt <br />Payer: Kilgore Companies <br />Due 12120117 <br />Receipt Total: <br />$791.00 <br />Page 1 of 1 <br />