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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1983176 <br />Asphalt Specialties Co., Inc. <br />Receipt #: <br />Date: <br />Permit: <br />9508 <br />12/07/2010 <br />M1983176 <br />000000000 <br />17513 1 4300-01 1 Minerals Annual Fees <br />M-1983-176 <br />$791.00 <br />Receipt Total: $791.00 <br />Page 1 of 1 <br />