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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1995008 <br />Receipt #: <br />Date: <br />Permit: <br />10563 <br />05/16/2011 <br />M1995008 <br />Fremont Paving & Redi-Mix, Inc. <br />000000000 <br />------------- <br />80752 4300-01 Minerals Annual Fees <br />M-1995-008 <br />$791.00 <br />Receipt Total: $791.00 <br />Page 1 of 1