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Lafarge West, Inc. <br />000000000 <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1991035 <br />Receipt #: 14497 <br />Date: 01/24/2013 <br />Permit: M1991035 <br />Payment Method Revenue Code <br />Fee Desciription /Notes Amount <br />73258709 <br />4300 -11 <br />Minerals Technical Revision <br />M- 1991 -035, CMB <br />$216.00 <br />Receipt Total: I $216.00 <br />Page 1 of 1 <br />