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rtio reF r-i- v r rnaP <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1990112 <br />Fremont Paving & Redi -Mix, Inc. Receipt #: <br />Date: <br />Permit: <br />000000000 <br />086357 SMS 14300-01 1 Minerals Annual Fees <br />M 1990 -112 <br />17476 <br />05/20/2014 <br />M1990112 <br />$791.00 <br />Receipt Total: 1 $791.00 <br />Page 1 of 1 <br />