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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2000032 <br />M.A. Concrete Construction, Inc. <br />000000000 <br />80966 14300-01 1 Minerals Annual Fees <br />M- 2000 -032, CMB <br />Receipt #: <br />Date: <br />Permit: <br />13339 <br />07/18/2012 <br />M2000032 <br />$791.00 <br />Receipt Total: 1 $791.001 <br />Page 1 of 1 <br />