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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2009035 <br />Receipt #: <br />Date: <br />5524 <br />MA Concrete Construction Inc. <br />Permit: <br />000000000 <br />79052-mr1 4300-02 1 Minerals Application Fees <br />M-2009-035, fees paid by M.A. Concrete Construction, Inc. <br />05/01/2009 <br />M2009035 <br />$2,696.00 <br />Receipt Total: 1 $2,696.00 <br />Page 1 of 1