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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2009094 <br />Asphalt Constructors, Inc. <br />000000000 <br />Receipt #: <br />Date: <br />Permit: <br />19798 <br />06/26/2015 <br />M2009094 <br />Payment Metho <br />eveue Code <br />._, ee Description/Notes <br />Arno <br />1 1 a <br />11 1Minerals <br />Technical Revision <br />M2009-094 <br />I Receipt Total: I $216.00 <br />Page 1 of 1 <br />