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Lafarge West, Inc. <br />000000000 <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1974070 <br />Receipt #: 14614 <br />Date: 02/13/2013 <br />Permit: M1974070 <br />nt Method Revenue .Code <br />Description /Notes <br />oun <br />73257640 jwd <br />4300 -01 <br />Minerals Annual Fees <br />M- 1974 -070 <br />$791.00 <br />Receipt Total: I $791.00 <br />Page 1 of 1 <br />