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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1993004 <br />General Shale Brick, Inc. <br />000000000 <br />00572743 <br />4300-01 1 Minerals Annual Fees <br />M-1993-004 <br />Receipt #: 5486 <br />Date: 04/24/2009 <br />Permit: M1993004 <br />$791.00 <br />Receipt Total: 1 $791.001 <br />Page 1 of 1