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Asphalt Specialties Co., Inc. <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2004009 <br />IIIIIIIIIIIIIIIIIi <br />Receipt #: 19632 <br />Date: 1,,---05/29/2015 <br />Permit: M2004009 <br />Receipt Total: $1,000.00 <br />Page 1 of 1 <br />032896 msr <br />5700 <br />Minerals Civil Penalty/Violation Fines <br />M2004-009 MV -2015-004 <br />$1,000.00 <br />Receipt Total: $1,000.00 <br />Page 1 of 1 <br />