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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M2004061 <br /> Everist Materials, LLC Receipt#: 23167 <br /> Greg Norwick Date: 03/27/2017 <br /> P.O. Box 1150 Permit: M2004061 <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 /> 2564 <br /> Elam Construction,LLC 23-711020 <br /> 556 Struthers Ave. <br /> Grand Junction,CO 81501 <br /> t { Atz <br /> a tD the <br /> aDo �-3��Rrs 8 <br /> Wells Fargo _ I a 1 t6""l <br /> m— IgA.e?-�6a- <br /> ,.h 1R 9�- o1s nr <br /> �D <br /> Page 1 of 1 <br />