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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2005033 <br />Coulson Excavating Company, Inc. <br />000000000 <br />43380 1 4300 -01 1 Minerals Annual Fees <br />M- 2005 -033 jwd <br />Receipt # <br />Date <br />Permit <br />16153 <br />10/09/2013 <br />M2005033 <br />$791.00 <br />Receipt Total: 1 $791.00 <br />Page 1 of 1 <br />