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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2005067 <br />Carrizo Stone, LLC <br />000000000 <br />2341 SMS 14300-01 1 Minerals Annual Fees <br />M2005 -067 <br />Receipt #: 17330 <br />Date: 05/01/2014 <br />Permit: M2005067 <br />$791.00 <br />Receipt Total: 1 $791.00 <br />Page 1 of 1 <br />