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Asphalt Specialties Co., Inc. V <br />000000000 <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for 16005059 <br />Receipt #: 14609 <br />Date: 02/12/2013 <br />Permit: M2005059 <br />Payment Method Revenue Code <br />Fee Description /Notes <br />Amount <br />25291 jwd <br />4300 -01 <br />Minerals Annual Fees <br />M- 2005 -059 <br />$791.00 <br />Receipt Total: I $791.00 <br />Page 1 of 1 <br />