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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1997026 <br /> Carol Ann Pit LLC Receipt#: 37224 <br /> Bob Newby Date: 11/22/2021 <br /> 11151 Highway 6 <br /> P 0 Box 1209 Permit: M1997026 <br /> Gypsum CO 816371209 <br /> MethodPayment Revenue Code Fee Description/Notes Amount <br /> Check#1041 4300-MAMD Minerals Amendment Fees $2,229.00 <br /> User: AHD <br /> Payer: Eagle River Materials, LLC <br /> AM-1 <br /> Receipt Total: $2,229.00 <br /> Page 1 of 1 <br />