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Holcim (US) Inc. <br />000000000 <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1977247 <br />Receipt #: 15116 <br />Date: 04/29/2013 <br />Permit: M1977247 <br />Payment Method Revenue code <br />Fe '' <br />Description /Notes <br />A i <br />ount <br />12835732 jwd <br />4300 -01 <br />Minerals Annual Fees <br />M- 1977 -247 <br />$791.00 <br />Receipt Total: I $791.00 <br />Page 1 of 1 <br />