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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1991003 <br /> General Shale Brick, Inc. Receipt#: 21287 <br /> Date: 04/14/2016 <br /> Permit: M1991003 <br /> 000000000 <br /> MethodPayment Revenue Code Fee Description/Notes Amount <br /> 00913267 SDT 4300-MAFO Minerals Annual Fees $323.00 <br /> M 1991-003 <br /> Receipt Total: $323.00 <br /> Page 1 of 1 <br />