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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1981080 <br />Receipt #: <br />Date: <br />5725 <br />05/28/2009 <br />M1981080 <br />rTezak Stone & Aggr Supply, Inc. <br />Permit: <br />000000000 <br />12967 1 4300-01 1 Minerals Annual Fees <br />M-1981-080, Paid By Tezak Stone and Aggregate Supply Inc. <br />dba Mike Tezak Construction <br />$323.00 <br />Receipt Total: $323.00 <br />Page 1 of 1