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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2006039 <br />Chevron Shale Oil Company, a division of Ch( <br />111111111 <br />0024508892 ms 14300-01 1 Minerals Annual Fees <br />M2006 -039 <br />Receipt # <br />Date <br />Permit <br />16463 <br />12/02/2013 <br />M2006039 <br />$323.00 <br />Receipt Total: 1 $323.00 <br />Page 1 of 1 <br />