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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2005061 <br />M.A. Concrete Construction, Inc. <br />Receipt #: 20152 <br />Date: 08/26/2015 <br />Permit: M2005061 <br />31169 SDT <br />4300-MAFO <br />Minerals Annual Fees <br />$791.00 <br />M2005-061 <br />Receipt Total: $791.00 <br />Page 1 of 1 <br />