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Bumgarner Ranches, Inc. <br />3506 jwd 4300 -11 <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1980027 <br />Minerals Technical Revision <br />M- 1980 -027, Paid By Tri -River Ace Hardware <br />Receipt #: <br />Date: <br />Permit <br />16085 <br />10/01/2013 <br />M1980027 <br />$216.00 <br />Receipt Total: 1 $216.00 <br />Page 1 of 1 <br />