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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2013040 <br />Richard Fretterd <br />000000000 <br />9076002944 jwc 14300-02 1 Minerals Application Fees <br />M- 2013 -040 <br />C'e j V'C-�"/ <br />J <br />i <br />Receipt #: <br />15973 <br />Date: <br />09/16/2013 <br />Permit: <br />M2013040 <br />$288.00 <br />Receipt Total: 1 $288.00 <br />W-- - ) <br />Page 1 of 1 <br />