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General Shale Brick, Inc. dba Robinson Brick <br />000000000 <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1980245 <br />Receipt #: 14555 <br />Date: 02/04/2013 <br />Permit: M1980245 <br />Payment Method <br />Revenue Code <br />Fee Description /Notes <br />Amount <br />812950 <br />4300 -01 <br />Minerals Annual Fees <br />M- 1980 -245, CMB <br />$791.00 <br />Receipt Total: I $791.00 I <br />Page 1 of 1 <br />