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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1977252 <br />General Shale Brick, Inc. <br />Receipt #: <br />Date: <br />Permit: <br />9723 <br />01/13/2011 <br />M1977252 <br />000000000 <br />714032 14300-01 1 Minerals Annual Fees <br />M-1977-252 <br />$791.00 <br />Receipt Total: $791.00 <br />Page 1 of 1