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Jake Kauffman & Son, Inc. <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1999069 <br />Receipt #: 16663 <br />Date: 01/10/2014 <br />Permit: M1999069 <br />Page 1 of 1 <br />70331 msr <br />4300 -01 <br />Minerals Annual Fees <br />M1999-069 <br />$791.00 <br />Receipt Total: <br />$791.00 <br />Page 1 of 1 <br />