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Transist Mix Concrete Co. <br />Andre Laroche <br />444 E. Costilla St. <br />Colorado Springs <br />CO 809030000 <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for Minerals <br />Receipt #: 12411 <br />Date: 03/02/2012 <br />Permit: Minerals <br />Payment Method Revenue Code <br />Fee Description /Notes Amount <br />Cash <br />4400 <br />Mineral Copies <br />M- 1977 -210, DVD <br />1 <br />$20.00 <br />Receipt Total: I $20.00 <br />Page 1 of 1 <br />