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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1981148 <br />General Shale Brick, Inc. dba Robinson Brick <br />704301 <br />000000000 J <br />Revenue .Code F <br />4300-01 Minerals Annual Fees <br />M-1981-148 <br />Receipt #: <br />Date: <br />Permit: <br />9331 <br />11/02/2010 <br />M1981148 <br />$791.00 <br />Receipt Total: $791.00 <br />Page 1 of 1