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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1977321 <br />Summit Brick & Tile Co. <br />000000000 <br />Receipt #: <br />Date: 02/23/2009 <br />Permit: M1977321 <br />Method Payment Revenue •• Fee Description/Notes Amount <br />77546 4300-01 Minerals Annual Fees $323.00 <br />M-1977-321, Paid By Summit Brick Company <br />77546 4300-01 Minerals Annual Fees $323.00 <br />M-1977-322 <br />77546 4300-01 Minerals Annual Fees $791.00 <br />M-1977-324 <br />Receipt Total: $1,437.00 <br />Page 1 of 1