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Valco Lamar Concrete Division <br />000000000 <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1981132 <br />Receipt #: 13991 <br />Date: 10/26/2012 <br />Permit: M1981132 <br />Payment Method Revenue Code <br />Fee Description /Notes Amount <br />28281 <br />4300 -12 <br />Minerals Temporary Cessation <br />M- 1981 -132, CMB <br />$144.00 <br />Receipt Total: I $144.00 <br />Page 1 of 1 <br />