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Asphalt Constructors, Inc. <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2009094 <br />033595 SMS 14300-01 1 Minerals Annual Fees <br />M2009 -094 <br />Receipt #: <br />Date: <br />Permit <br />17149 <br />04/04/2014 <br />L MI•ilI <br />$791.00 <br />Receipt Total: 1 $791.00 <br />Page 1 of 1 <br />