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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1992009 <br />Gillette Sand and Gravel, Inc. Receipt#: 25993 <br />V. Pyles Date: 02/14/2018 <br />20575 Hwy 24 Permit: M1992009 <br />Woodland Park CO 808630000 <br />Payment Method Revenue Code Fee Description/Notes Amount <br />Check#5631 4300-MTRO Minerals Technical Revision 216.00 <br />User: MSR <br />Payer: Ute Pass Concrete Sand & Gravel Inc. <br />TRO7 <br />Receipt Total: I 216.00 <br />Page 1 of 1