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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1991035 <br /> Lafarge West, Inc.c/o Lafarge North America I Receipt#: 40228 <br /> Chance Allen Date: 01/23/2023 <br /> 1687 Cole Blvd <br /> Suite 300 Permit: M1991035 <br /> Golden CO 804010000 <br /> Payment Method Revenue Codje Fee-De-scription/Notes -.---Am-ount-.--- <br /> Check#4000270128 4300-MSOO Minerals Succession of Operators $144.00 <br /> User: AHD <br /> Payer: Holcim-ACM Management, Inc <br /> SO-5 <br /> Receipt Total: $144.00 <br /> Page 1 of 1 <br />