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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1981080 <br />Receipt #: <br />Date: <br />Permit: <br />10561 <br />05/16/2011 <br />M1981080 <br />Tezak Stone & Aggr Supply, Inc. <br />000000000 <br />13468 4300-01 Minerals Annual Fees <br />M-1981-080 <br />$323.00 <br />Receipt Total: $323.00 <br />Page 1 of 1