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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1981080 <br />Receipt #: <br />Date: <br />7965 <br />Tezak Stone & Aggr Supply, Inc. <br />Permit: <br />000000000 <br />13175 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 />04/19/2010 <br />M1981080 <br />$323.00 <br />Receipt Total: 1 $323.00 <br />Page 1 of 1