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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2013084 <br />Phillips County <br />000000000 <br />30044 msr 4300 -02 1 Minerals Application Fees <br />M2013 -084 <br />Receipt #: 16550 <br />Date: 12/20/2013 <br />Permit: M2013084 <br />$2,696.00 <br />Receipt Total: 1 $2,696.00 <br />Page 1 of 1 <br />