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Western Gravel, Inc. <br />000000000 <br />Payment Method Revenue Code <br />Fee Description /Notes Amount <br />11996 <br />5700 <br />Minerals Civil PenaltyNiolation Fines <br />M- 1992 -102, MV- 2011 -038 <br />$5,100.00 <br />Receipt Total: I $5,100.00 <br />G I V E M E Y O U R T I R E D , YOUR POOR <br />MEMO <br />WESTERN GRAVEL, INC. <br />3001 N TOWNSEND AVE. <br />MOTROSE, CO 81401 <br />PAY TO THE Division of Reclamation, Mining and Safet $ * *5,100.00 <br />ORDER OF <br />Five Thousand One Hundred and 00/ 100*************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** <br />DOLLARS <br />Division of Reclamation, Mining and Safet <br />1313 Sherman Street, Room 215 <br />Denver, CO 80203 <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1992102 <br />7 <br />47- 2, 38' <br />" <br />COMMUNITY BANKS OF COLORADO <br />(877) 877 -0395 <br />WWW.COBNKS.COM <br />W.COBNKS.COM <br />Receipt #: <br />Date: 01/31/2012 <br />Permit: M1992102 <br /> <br />82- 201 -1021 <br />12/12/2011 <br />ta cw�, <br />Fttect & iD Ae&ooI,on <br />Page 1 of 1 <br />