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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1983013 <br />Lafarge West, Inc. <br />000000000 <br />73127852-mr1 14300-11 1 Minerals Technical Revision <br />M-1983-013 <br />Receipt #: <br />Date: <br />Permit: <br />9783 <br />01/24/2011 <br />M1983013 <br />$216.00 <br />Receipt Total: 1 $216.00 <br />Page 1 of 1