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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1979045 <br />Receipt # <br />Date <br />7597 <br />The Lakewood Brick and Tile Company <br />Permit: <br />000000000 <br />85526 14300-01 [Minerals Annual Fees <br />M-1979-045, Paid By Summit Brick Company <br />02/19/2010 <br />M1979045 <br />$791.00 <br />Receipt Total: $791.00 <br />Page 1 of 1