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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1981004 <br />807230000COBrush <br />P.O. Box 125 <br />1914 Edmunds St. <br />Vernon Dilley <br />Receipt #: <br />10/20/2016 <br /> 22382 <br />Date: <br />M1981004Permit: <br />Dilleys Sand & Gravel <br />Fee Description/Paid By Other Entity/NotesRevenue CodePayment Method Amount <br />Check #48789 $100.00 5700 Minerals Civil Penalty/Violation Fines <br />$100.00 Receipt Total: <br />Page 1 of 1