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Lafarge West, Inc. <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1990144 <br />M1 1 1uililiui1 <br />73214744 jwd 4300 -01 1 Minerals Annual Fees <br />M- 1990 -144 <br />Receipt #: <br />Date: <br />Permit: <br />13098 <br />06/13/2012 <br />M1990144 <br />$791.00 <br />Receipt Total: 1 $791.00 <br />Page 1 of 1 <br />