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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1980201 <br /> Mathias Concrete, Inc. Receipt#: 33428 <br /> Thomas Mathias Date: 11/20/2020 <br /> 1500 N. Farm Rd. <br /> P.O. Box 266 Permit: M1980201 <br /> Monte Vista CO 811440000 <br /> Check#005154 4300-MAFO Minerals Annual Fees $791.00 <br /> User: SDT <br /> Reissued-Prior Pymnt NSF <br /> Receipt Total: $791.00 <br /> Page 1 of 1 <br />