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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1987131 <br />Fremont Paving & Redi-Mix, Inc <br />000000000 <br />79285 14300-11 1 Minerals Technical Revision <br />M-1987-131 <br />I <br />"ISu? A1, c i+G'f <br />7/?02? <br />Receipt #: <br />Date: <br />Permit: <br />9425 <br />11/22/2010 <br />M 1987131 <br />$216.00 <br />Receipt Total: $216.00 <br />Fee 0A( <br />0 <br />Page 1 of 1