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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1998052 <br /> Everist Materials, LLC Receipt#: 23166 <br /> Mahlon Dysart Date: 03/27/2017 <br /> P.O. Box 1150 Permit: M1998052 <br /> Silverthorne CO 804980000 <br /> Payment Method Revenue Code Fee Description/Notes Amount <br /> Check#2564 4300-MSOO Minerals Succession of Operators $144.00 <br /> User: bjc <br /> Payer: Elam Construction LLC <br /> one check for 4 permit fees posted individually <br /> Receipt Total: $144.00 <br /> Elam Construction,LLC 2564 <br /> 556 Struthers Ave. 23-7/1020 <br /> Grand Junction,CO 81501 <br /> - z -17 <br /> Dee <br /> .t y to the <br /> � 5116 - <br /> (roltr o1 $ S76, <br /> t <br /> _ Z <br /> • • ` • L/ Y6 ;J ars Pt 'k"„o <br /> Wells Fargo O Ci I R i Ct-ten <br /> rrt_ IgC{a-96a <br /> r.1,1 Otis <br /> vn et)L/- obf <br /> �a� ---- --------------- <br /> Page 1 of 1 <br />