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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1980201 <br />Receipt #: <br />Date: <br />4238 <br />Mathias Concrete, Inc. <br />Permit: <br />000000000;, <br />9334-mr1 14300-01 1 Minerals Annual Fees <br />M-1980-201 <br />10/21/2008 <br />M1980201 <br />$791.00 <br />Receipt Total: $791.00 <br />Page 1 of 1