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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1996060 <br />Bestway Concrete Company Inc. <br />000000000 <br />Receipt #: <br />Date: <br />Permit: <br />16374 <br />11/15/2013 <br />M1996060 <br />Method Payment <br />Revenue Code <br />27472 msr <br />4300 -01 <br />Minerals Annual Fees <br />M1996 -060 msr <br />$791.00 <br />Receipt Total: <br />$791.00 <br />Page 1 of 1 <br />