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Fremont Paving & Redi -Mix, Inc. <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2000041 <br />[1I1I1I1I1I1I111If <br />84534 14300-01 1 Minerals Annual Fees <br />M- 2000 -041, CMB <br />Receipt #: <br />Date: <br />Permit: <br />15441 <br />06/21/2013 <br />LK111I1111 it <br />$791.00 <br />Receipt Total: 1 $791.00 <br />Page 1 of 1 <br />