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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1977361 <br /> CEMEX, Inc. Receipt#: 27718 <br /> Uwe Lubjuhn Date: 11/08/2018 <br /> PO Box 529 <br /> Permit: M1977361 <br /> Lyons CO 805400000 <br /> iPayment Method Vy Revenuer Cod : fe*Description%Notes Amount <br /> Check# 4300-MTRO Minerals Technical Revision $216.00 <br /> User: bjc <br /> Payer: Cemex Materials LLC <br /> Receipt Total: $216.00 <br /> CEMEX Materials LLC CHECK _ 70-2322 <br /> 1501 Belvedere Road NUMBER 719 <br /> CE E heone: (877)777-448733406 November 5, 2018 (i}`�✓ <br /> —VOID AFTER 180 DAYS"' <br /> PAY COLORADO DIV OF MINERALS&GEOLOGY <br /> TO THE <br /> ORDER OF. <br /> CHECK AMOUNT <br /> $216 . 00 <br /> EXACTLY *********216 DOLLARS AND 00 CENTS <br /> t Oa1xH Guk <br /> JPMorgan Chase Bank,N A <br /> Chicago,IL • 1111 <br /> M <br /> u. <br /> Page 1 of 1 <br />