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Summit Brick & Tile Co. <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1985203 <br />111111111 <br />119557 msr 14300-MAFO I Minerals Annual Fees <br />M1985-203 <br />Receipt #: <br />Date: <br />Permit <br />19593 <br />05/22/2015 <br />M1985203 <br />$409.00 <br />Receipt Total: 1 $409.00 <br />Page 1 of 1 <br />