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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1977326 <br />'General Shale Brick, Inc. <br />Receipt #: 16256 <br />Date: 10/28/2013 <br />Permit: M1977326 <br />Page 1 of 1 <br />00842730 kja <br />4300 -01 <br />Minerals Annual Fees <br />M1977326 kja <br />$323.00 <br />Receipt Total: <br />$323.00 <br />Page 1 of 1 <br />