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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1977219 <br />Summit Brick & Tile Co. <br />000000000 <br />118486 msr 1 4300 -MAFO I Minerals Annual Fees <br />M 1977 -219 <br />Receipt #: <br />Date: <br />Permit: <br />19225 <br />03/27/2015 <br />M 1977219 <br />$791.00 <br />Receipt Total: 1 $791.00 <br />Page 1 of 1 <br />