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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2002109 <br />A. Blassi & Son Trucking & Earthmoving, Inc. Receipt #: <br />Date: <br />Permit: <br />000000000 <br />1001453842 ms 1 4300-01 <br />1001453842 ms 1 5700 <br />Minerals Annual Fees <br />M2002-109 <br />Minerals Civil PenaltyNiolation Fines <br />M2002-109 MV-2013-017 <br />16781 <br />02/03/2014 <br />M2002109 <br />$646.00 <br />$323.00 <br />I Receipt Total: 1 $969.001 <br />4" <br />Page 1 of 1 <br />