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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1985043 <br /> Rocky Mountain Materials and Asphalt, Inc. Receipt#: 27699 <br /> David Bieber Date: 11/01/2018 <br /> c/o Martin Marietta Materials, Inc. <br /> 1627 Cole Boulevard, Suite 200 Permit: M1985043 <br /> Lakewood CO 804010000 <br /> Payment Method Revenue Code Fee Description/Notes Amount <br /> Check#01875520 4300-MTRO Minerals Technical Revision $216.00 <br /> User: bjc <br /> Payer: Martin Marietta <br /> Receipt Total: $216.00 <br /> WARNING—THIS CHECK IS PROTECTED BY SPECIAL SECURITY GUARD PROGRAMTM FEATURES <br /> Wells Fargo Bank,N.A. 66.1 6 CHECK NO. 01875520 ✓✓.. <br /> 531 <br /> l��t� �av <br /> Mc r•ietta <br /> PO.BOX 30013 RALEIGH,NORTH CAROLINA 27622-0013 DATE' CHECK AMOUNT <br /> • 10/19/18 $*****"216.00 <br /> TWO HUNDRED SIXTEEN AND'00/100******************************************************* <br /> 5 <br /> PAY TO STATE OF COLORADO <br /> • DIV OF RECLAMATION,MINERALS&SAFETY <br /> 1313 SHERMAN ST ROOM 215 r <br /> DENVER CO 80203 6;4 <br /> Authorized Signature <br /> SECURE FEATURES INCLUDE INVISIBLE FIBERS•MICROPRINTING•VOID FEATURE PANTOGRAPH•ENDORSEMENT BACKER•BROWNSTAIN CHEMICAL REACTANT <br /> Page 1 of 1 <br />