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'K\ <br /> + � � <br /> CEMEX Materials LLC -`/1� ./) 4�~��{/' L/ PAGE. 1w1 <br /> 1501 Belvedere Road � / U� �/�� `/ DATE: November 5,2018 <br /> WestPalm FLoo4us <br /> Beach, TRACE NUMBER:2003520558 <br /> Phone:(877)777-4487 CHECK NUMBER:23517763 <br /> AMOUNT PAID:$216 00 <br /> 0 <br /> vVVvVV.cEMEXVsNDDRa.COM <br /> 00035 2361" CES NA 18306 - 0023517763 NNNNNNNNNNNN 3065100006206 x338A1 C <br /> COLORADO DIV OF MINERALS&GEOLOGY •• <br /> AR DEPT <br /> 1313 SHERMAN ST STE 215 <br /> k�/ � <br /> DENVER CO 80203-2243 <br /> VENDOR NO:0000772790 <br /> peed Payment Receipt by 7-10 Days!!Enroll in Direct Deposit!!Deposit!! <br /> ;end Banking Information on Company Letterhead or sendvmdcdohockm: <br /> xDTUaA@CEMEXuSA.COwn,Fax mss1'so4'nonu <br /> DATE VENDOR INVOICE NUMBER PURCHASE ORDER NUMBER AMOUNT DISCOUNT NET AMOUNT <br /> 0/31/18 1e77'361 4506575170 $216.00 $0.00 $210.00 <br /> MINING PERMIT 1977-361 TECHNICAL REVISION FEE <br /> TOTALS *216.00 $0.00 $e16u0 <br /> \ 7(c/ i L) <br /> ` <br /> • <br /> , ^ <br /> PLEASE DETACH BEFORE DEPOSITING CHECK <br />