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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1983028 <br />Stone Sand & Gravel, LLC <br />000000000 <br />Receipt #: 21058 <br />Date: 03/01/2016 <br />Permit: M1983028 <br />Payment Method Revenue Code <br />Fee Description/Notes Amount <br />003251 SDT <br />4300-MAFO <br />Minerals Annual Fees <br />M1983-028 <br />$791.00 <br />Receipt Total: <br />$791.00 <br />Page 1 of 1 <br />