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Summit Brick & Tile Co. <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1977324 <br />111111111 <br />Receipt #: 19041 <br />Date: 02/27/2015 <br />Permit: M1977324 <br />7 . I, ..' <br />117836 msr <br />4300 -MAFO <br />Minerals Annual Fees <br />M 1977 -324 <br />$791.00 <br />Receipt Total: $791.00 <br />Page 1 of 1 <br />