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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1977219 <br /> Summit Brick&Tile Co. Receipt#: 21176 <br /> Date: 03/25/2016 <br /> Permit: M1977219 <br /> 000000000 <br /> Payment Method Revenue Code Fee Description/Notes Amount <br /> 126368 SDT 4300-MAFO Minerals Annual Fees $791.00 <br /> M1977-219- Paid By: Summit Brick Company <br /> Receipt Total: $791.00 <br /> Page 1 of 1 <br />