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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1977348 <br /> Holcim (US) Inc. Receipt#: 25992 <br /> Derrick Dease Date: 02/14/2018 <br /> 3500 Highway 120 <br /> Permit: M1977348 <br /> Florence CO 812260000 <br /> Payment Method Revenue Code Fee Description/Notes Amount <br /> Check#2165 4300-MTRO Minerals Technical Revision $216.00 <br /> User: MSR <br /> Payer: Northern Water Land/Row Account <br /> TR08 <br /> Receipt Total: $216.00 <br /> Page 1 of 1 <br />