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General Shale Brick, Inc. <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1981148 <br />Receipt #: 18506 <br />Date: 11/04/2014 <br />Permit: M1981148 <br />Method ent <br />Revenue Cod <br />_ <br />00873879 msr <br />4300 -MAFO <br />Minerals Annual Fees <br />M1981 -148 <br />$791.00 <br />Receipt Total: $791.00 <br />Page 1 of 1 <br />