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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1987074 <br />Mayne Block & Stone Company <br />000000000 <br />Receipt #: <br />Date: <br />Permit: <br />16154 <br />10/09/2013 <br />M1987074 <br />ent Method <br />Revenue Code <br />Fee Description /Notes <br />Amount. <br />•�• <br />is I <br />Minerals <br />M-1987-074 jwd <br />Receipt Total: $791.00 <br />Page 1 of 1 <br />