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Grant Bros Construction Ltd <br />000000000 <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1981068 <br />Receipt #: 13717 <br />Date: 09/20/2012 <br />Permit: M1981068 <br />Payment Method <br />Revenue Code <br />Description /Notes <br />Amount <br />10699 <br />4300 -01 <br />Minerals Annual Fees <br />M- 1981 -068, CMB <br />$791.00 <br />Receipt Total: I $791.00 <br />Page 1 of 1 <br />