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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1987074 <br />r -Mayne Block & Stone Company <br />Receipt #: <br />Date: <br />Permit: <br />6745 <br />10/13/2009 <br />M1987074 <br />000000000 <br />21350-mr1 4300-01 Minerals Annual Fees <br />M-1987-074, fees paid by Mayne Block & Stone <br />$791.00 <br />Receipt Total: $791.00 <br />Page 1 of 1