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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1977325 <br />The Summit Pressed Brick and Tile Company <br />000000000 <br />Receipt #: 20612 <br />Date: 11/18/2015 <br />Permit: M1977325 <br />Payment Method Revenue Code <br />Fee Description/Notes <br />Amount <br />123550 SDT <br />4300-MAFO <br />Minerals Annual Fees <br />M1977-325 <br />$323.00 <br />Receipt Total: <br />$323.00 <br />Page 1 of 1 <br />