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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1977098 <br />Lafarge West, Inc. <br />Receipt #: <br />Date: <br />Permit: <br />9428 <br />'11/22/2010 <br />M1977098 <br />000000000 <br />73113154 4300-01 Minerals Annual Fees <br />M-1977-098, Paid By Lafarge North America <br />$791.00 <br />Receipt Total: $791.00 <br />Page 1 of 1