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Summit Brick & Tile Co. <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1998067 <br />99�IWI <br />117068 msr 1 4300 -MAFO I Minerals Annual Fees <br />M1998 -067 paid by Summit Brick Company <br />Receipt #: <br />Date: <br />Permit: <br />18819 <br />01/15/2015 <br />M1998067 <br />$791.00 <br />Receipt Total: $791.00 <br />Page 1 of 1 <br />