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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1998067 <br />r <br />Summit Brick & Tile Co. <br />Receipt #: <br />Date: <br />Permit: <br />9755 <br />01/20/2011 <br />M1998067 <br />000000000 <br />91271 14300-01 1 Minerals Annual Fees <br />M-1998-067, Paid By Summit Brick Company <br />$791.00 <br />Receipt Total: 1 $791.00 <br />Page 1 of 1