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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2010054 <br />Timothy D. Williams & Betty J. Williams <br />Receipt #: 16370 <br />Date: 11/15/2013 <br />Permit: M2010054 <br />Method Payment <br />Revenue Code <br />. <br />Amount <br />4561 msr <br />4300 -01 <br />Minerals Annual Fees <br />M2010 -054 msr <br />$323.00 <br />Receipt Total: <br />$323.00 <br />Page 1 of 1 <br />