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Summit Brick & Tile Co. <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1977324 <br />110730 SMS 4300 -01 Minerals Annual Fees <br />M1977 -324 Paid By Summit Brick Company <br />Receipt #: <br />Date: <br />Permit: <br />16857 <br />02/18/2014 <br />M1977324 <br />$791.00 <br />Receipt Total: 1 $791.00 <br />Page 1 of 1 <br />