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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M2000041 <br /> 01 Fremont Paving & Redi-Mix, Inc. Receipt#: 25758 <br /> John Ary Date: 01/03/2018 <br /> 839 MacKenzie Avenue <br /> P.O. Box 841 Permit: M2000041 <br /> Canon City CO 812150000 <br /> MethodPayment Revenue Code • • • Amount <br /> Check#015926 4300-MTRO Minerals Technical Revision $216.00 <br /> User: sdt <br /> Payer: Fremont Paving & Redi-Mix, Inc. <br /> TR02 <br /> Receipt Total: $216.00 <br /> Page 1 of 1 <br />