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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1991003 <br /> General Shale Brick, Inc. Receipt#: 31627 <br /> Harold Stickler Date: 06/22/2020 <br /> 1845 W. Dartmouth Ave. <br /> Permit: M1991003 <br /> Denver CO 801101308 <br /> . . • . � _ • • N' Amount <br /> Check#00998236 4300-MTRO Minerals Technical Revision $216.00 <br /> User: sdt <br /> TR01 <br /> Receipt Total: $216.00 <br /> Page 1 of 1 <br />