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Stone Sand & Gravel, LLC <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1983028 <br />ATI III <br />Receipt #: 15515 <br />Date: 07/03/2013 <br />Permit: M1983028 <br />Method Payment <br />Revenue Code <br />5221 jwd <br />4300 -09 <br />Minerals Succession of Operators <br />M- 1983 -028 <br />$144.00 <br />Receipt Total: <br />$144.00 <br />Page 1 of 1 <br />