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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1985203 <br />Summit Brick & Tile Co. <br />000000000 <br />105565 14300-01 1 Minerals Annual Fees <br />M- 1985 -203, CMB <br />Receipt #: <br />Date: <br />Permit: <br />15208 <br />05/14/2013 <br />M1985203 <br />$323.00 <br />Receipt Total: 1 $323.00 <br />Page 1 of 1 <br />