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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1996082 <br />Lafarge North America Inc. <br />000000000 <br />Receipt #: <br />Date: <br />Permit: <br />16285 <br />10/31/2013 <br />M1996082 <br />Payment Method <br />Revenue Code <br />Fee Description /Notes <br />A <br />73296522 jwd <br />Minerals Annual Fees <br />M-1996-082 <br />Receipt Total: $791.00 <br />Page 1 of 1 <br />