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Fremont Paving & Redi -Mix Inc <br />000000000 <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1980224 <br />Receipt #: 14032 <br />Date: 11/01/2012 <br />Permit: M1980224 <br />Payment Method Revenue Code # Fee Description /Notes <br />A t <br />n oun <br />83423 jwd <br />4300 -01 <br />Minerals Annual Fees <br />M- 1980 -224 <br />$791.00 <br />Receipt Total: I $791.00 <br />Page 1 of 1 <br />