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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1977053 <br />Receipt #: <br />Date: <br />4555 <br />Asphalt Constructors, Inc. <br />Permit: <br />000000000 <br />027784-mr1 14300-01 1 Minerals Annual Fees <br />M-1977-053 <br />12/22/2008 <br />M1977053 <br />$791.00 <br />Receipt Total: 1 $791.00 <br />Page 1 of 1