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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1996082 <br />Lafarge West, Inc. <br />000000000 <br />16764-mr1 I 4300-01 I Minerals Annual Fees <br />M-1996-082 <br />Receipt #: <br />Date: <br />Permit: <br />Receipt Total <br />4353 <br />11/13/2008 <br />M1996082 <br />$791.00 <br />$791.00 <br />Page 1 of 1