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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1977320 <br />11 <br />Summit Brick & Tile Co. <br />Receipt #: <br />Date: <br />Permit: <br />8481 <br />06/29/2010 <br />M1977320 <br />000000000 <br />87779 4300-01 Minerals Annual Fees <br />M-1977-320, Paid By Summit Brick Company <br />$791.00 <br />Receipt Total: $791.00 <br />Page 1 of 1