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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1996049 <br />Everist Materials, LLC <br />000000000 <br />Receipt #: 20728 <br />Date: 12/22/2015 <br />Permit: M1996049 <br />Payment Method Revenue Code <br />Fee Description/Notes Amount <br />031556 msr <br />4300-MAFO <br />Minerals Annual Fees <br />M1996-049 <br />$791.00 <br />Receipt Total: <br />$791.00 <br />Page 1 of 1 <br />