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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1991035 <br /> Lafarge West, Inc. c/o Lafarge North America I Receipt#: 25679 <br /> Christine Felz Date: 12/08/2017 <br /> 1687 Cole Blvd. Permit: M1991035 <br /> Suite 300 <br /> Golden CO 804010000 <br /> Payment Method s, ,Revenue,Cod - � Fee Description/Nies \ Amount <br /> Check#7300050773 4300-MAFO Minerals Annual Fees $791.00 <br /> User: MSR <br /> 2017 <br /> Receipt Total: $791.00 <br /> Page 1 of 1 <br />