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Leone Sand & Gravel LLC <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2004026 <br />l,�III�III�IIIIIIIIi <br />Receipt #: 20139 <br />Date: 08/24/2015 <br />Permit: M2004026 <br />040962 SDT <br />4300-MAFO <br />Minerals Annual Fees <br />$791.00 <br />M2004-026 <br />Receipt Total: $791.00 <br />Page 1 of 1 <br />