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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2011026 <br />Keyah Grande Lodge and Elk Ranch <br />Receipt #: 16394 <br />Date: 11/19/2013 <br />Permit: M2011026 <br />Method Payment <br />Revenue Code <br />000404 kja <br />4300 -01 <br />Minerals Annual Fees <br />M2011 -026 kja <br />$791.00 <br />Receipt Total: <br />$791.00 <br />Page 1 of 1 <br />