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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2000103 <br />Allen P. Small Trucking & Excavation, Inc. <br />Receipt #: <br />Date: <br />4830 <br />Permit: <br />000000000 <br />12475-mr1 14300-01 1 Minerals Annual Fees <br />M-2000-103, fees paid by A.P.S. Topsoil, Inc. <br />02/02/2009 <br />M2000103 <br />$323.00 <br />Receipt Total: 1 $323.00 <br />Page 1 of 1