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General Shale Brick, Inc. <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1980245 <br />Receipt #: 16836 <br />Date: 02/12/2014 <br />Permit: M1980245 <br />00852460 SMS <br />4300 -01 <br />Minerals Annual Fees <br />$791.00 <br />M1980 -245 PAID BY GENERAL SHALE <br />Receipt Total: 1 $791.00 <br />Page 1 of 1 <br />