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Fremont Paving & Redi -Mix Inc <br />000000000 <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2000041 <br />Receipt #: 14936 <br />Date: 04/05/2013 <br />Permit: M2000041 <br />Payment Method Revenue Code Fee Description /Notes Amount <br />84206 <br />5700 <br />Minerals Civil PenaltyNiolation Fines <br />M- 2000 -041, MV- 2012 -035, CMB <br />$1.00 <br />Receipt Total: I $1.00 <br />Page 1 of 1 <br />