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Summit Brick & Tile Co. <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1985203 <br />CI�I�I�Iddd�I�� <br />112244 SMS 14300-01 1 Minerals Annual Fees <br />M1985-203 <br />Receipt #: 17389 <br />Date: 05/09/2014 <br />Permit: M1985203 <br />$323.00 <br />Receipt Total: 1 $323.00 <br />Page 1 of 1 <br />