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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M2006017 <br /> Sand Acquisition Holdings LLC Receipt#: 27041 <br /> Charles Wesley, IV Date: 07/10/2018 <br /> 3033 E. 1st Avenue, Suite 837 <br /> Permit: M2006017 <br /> Denver CO 802060000 <br /> MethodPayment Revenue Code Fee Description/Notes Amount <br /> Check#1009 4300-MSOO Minerals Succession of Operators $144.00 <br /> User: bjc <br /> Payer: Hourglass Sands LLC <br /> Receipt Total: $144.00 <br /> UMB BANK,N.A. <br /> HOURGLASS SANDS,LLC ACCOUNT KANSAS CITY,MISSOURI <br /> 1183 E.CANVASBACK DR. 18-69/1010 <br /> TERRE HAUTE,IN 47802 <br /> Veiidor Check Date checl� <br /> 000012 /28/2018 1009 I <br /> ***One Hundred ForfiaFour and 00/100 Dollars <br /> T ************144.00 <br /> l <br /> Pay to the Colorado Division of Reclamation Mining and Safety <br /> Order of 1313 Sherman Street#215 VOID AFTER 180 DAYS <br /> 17-4 Denver CO 80203 <br /> MEMO l� �ll(.n 6/7 _.._.._. _.._.._.__Ar <br /> Page 1 of 1 <br />