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Asphalt Specialties Co., Inc. <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2004009 <br />L711TITID I 1=1 11 <br />26534 jwd 14300-01 1 Minerals Annual Fees <br />M- 2004 -009 <br />Receipt #: <br />Date: <br />Permit: <br />15715 <br />08/05/2013 <br />M2004009 <br />$791.00 <br />Receipt Total: 1 $791.00 <br />Page 1 of 1 <br />