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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M2004009 <br /> Asphalt Specialties Co., Inc. Receipt#: 17954 <br /> Date: 08/05/2014 <br /> Permit: M2004009 <br /> 000000000 <br /> 1,1 n7„4 ofTT • t 6 '4�T, <br /> 29917 msr 4300-MAFO Minerals Annual Fees $791.00 <br /> M2004-009 <br /> Receipt Total: $791.00 <br /> Page 1 of 1 <br />