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Rocky Mountain Materials & Asphalt, Inc. <br />000000000 <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2009004 <br />Receipt #: 13736 <br />Date: 09/20/2012 <br />Permit: M2009004 <br />'Pay <br />ethod Revenue Code <br />Fee Description /Notes Amount <br />049647 <br />4300 -01 <br />Minerals Annual Fees <br />M- 2009 -004, CMB <br />$323.00 <br />Receipt Total: J $323.00 <br />Page 1 of 1 <br />