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Asphalt Constructors, Inc. <br />033291 msr <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1977053 <br />4300 -01 1 Minerals Annual Fees <br />M1977 -053 <br />s <br />Receipt #: <br />Date: <br />Permit: <br />16484 <br />12/06/2013 <br />M1977053 <br />$791.00 <br />Receipt Total: 1 $791.00 <br />Page 1 of 1 <br />