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Holcim (US) Inc. <br />000000000 <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2002096 <br />Receipt #: 11809 <br />Date: 11/16/2011 <br />Permit: M2002096 <br />Payment Methocr Revenue Code <br />Fee Description/Notes <br />Amount <br />12815703 <br />4300 -09 <br />Minerals Succession of Operators <br />M- 2002 -096 <br />Receipt Total: <br />$144.00 <br />$144.00 <br />Page 1 of 1 <br />