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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1983176 <br />Asphalt Specialties Co., Inc. <br />000000000 <br />Receipt #: <br />Date: <br />Permit <br />18164 <br />09/09/2014 <br />M1983176 <br />Page 1 of 1 <br />30221 SMS <br />4300 -MTRO <br />Minerals Technical Revision <br />M1983-176 <br />$216.00 <br />Receipt Total: <br />$216.00 <br />Page 1 of 1 <br />