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Florence Sand & Gravel <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1992051 <br />111111111 <br />Receipt #: <br />Date: <br />Permit: <br />20157 <br />08/26/2015 <br />M1992051 <br />Payment Method Revenue Code Fee Description/Notes <br />law ° <br />Amount <br />Annual Fees <br />M1992-051 <br />Receipt Total <br />IOUr <br />L 4y ' <br />Y <br />791.00 <br />Page 1 of 1