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Fremont Paving & Redi -Mix, Inc. <br />000000000 <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1995008 <br />Receipt #: 12904 <br />Date: 05/11/2012 <br />Permit: M1995008 <br />Payment Method Revenue Code <br />Fee Description /Notes Amount <br />82597 <br />4300 -01 <br />Minerals Annual Fees <br />M- 1995 -008, CMB <br />Receipt Total: 1 <br />$791.00 <br />$791.00 I <br />Page 1 of 1 <br />