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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1977424 <br />Occidental Oil Shale, Inc. <br />000000000 <br />4148 jwd 4300 -11 1 Minerals Technical Revision <br />M- 1977 -424, Paid By Western Water & Land, Inc. <br />Receipt #: <br />Date: <br />Permit: <br />16066 <br />09/30/2013 <br />M1977424 <br />$175.00 <br />Receipt Total: -1 $175.00 <br />Page 1 of 1 <br />