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The Denver Brick Company <br />000000000 <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1996064 <br />Receipt #: 14328 <br />Date: 12/26/2012 <br />Permit: M1996064 <br />Payment Method I Revenue Code <br />Descriptiion /Notes <br />Amount <br />01231328 <br />4300 -01 <br />Minerals Annual Fees <br />M- 1996 -064, CMB <br />$791.00 <br />Receipt Total: I $791.00 <br />Page 1 of 1 <br />