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American Gypsum Company LLC <br />000000000 <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1984041 <br />Receipt #: 14219 <br />Date: 12/10/2012 <br />Permit: M1984041 <br />Ietit Method Revenue code <br />a <br />Anounn <br />Description/Notes <br />252807 jwd <br />4300 -01 <br />Minerals Annual Fees <br />M- 1984 -041 <br />$791.00 <br />Receipt Total: I $791.00 <br />Page 1 of 1 <br />