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General Shale Brick, Inc. <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1979221 <br />834117 jwd 14300-01 1 Minerals Annual Fees <br />M- 1979 -221 <br />Receipt #: <br />Date: <br />Permit: <br />15775 <br />08/13/2013 <br />M 1979221 <br />$791.00 <br />Receipt Total: 1 $791.00 <br />Page 1 of 1 <br />