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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1977195 <br />Hard Rock Paving and Redi-Mix, Inc. <br />000000000 <br />Receipt #: 19958 <br />Date: 07/24/2015 <br />Permit: M1977195 <br />Payment Method Revenue Code <br />Fee Description/Notes Amount <br />029751 msr <br />4300-MAMD <br />Minerals Amendment Fees <br />M1977-195 <br />$827.00 <br />Receipt Total: I $827.00 <br />Page 1 of 1 <br />