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Asphalt Specialties Co., Inc. <br />000000000 <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2004009 <br />Receipt #: 13360 <br />Date: 07/23/2012 <br />Permit: M2004009 <br />Payment Method Revenue Code <br />Fee Description /Notes Amount <br />23114 jwd <br />5700 <br />Minerals Civil PenaltyNiolation Fines <br />M- 2004 -009, MV- 2012 -020 <br />$36,500.00 <br />Receipt Total: I $36,500.00 <br />Page 1 of 1 <br />