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Rock -N -Pine LLC <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2003074 <br />Receipt #: <br />Date: <br />Permit: <br />8668 msr 14300-01 1 Minerals Annual Fees <br />M2003 -074 paid by Justin Briggs / Nichole Briggs <br />16746 <br />01/28/2014 <br />M2003074 <br />$323.00 <br />Receipt Total: 1 $323.00 <br />Page 1 of 1 <br />