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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2000032 <br />M.A. Concrete Construction, Inc. <br />000000000 <br />Receipt #: <br />19727 <br />Date: <br />06/16/2015 <br />Permit: <br />M2000032 <br />Payment Method Revenue Code Fee Description/Notes 1w Amount <br />30869 SDT <br />4300-MAFO <br />Minerals Annual Fees <br />$791.00 <br />M2000-032 <br />Receipt Total: $791.00 <br />Page 1 of 1 <br />