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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2002078 <br />Coulson Excavating Company, Inc. <br />J11ITOI1 I <br />43969 msr 14300-01 1 Minerals Annual Fees <br />M2002 -078 <br />Receipt #: <br />Date: <br />Permit: <br />16753 <br />01/28/2014 <br />M2002078 <br />$791.00 <br />Receipt Total: 1 $791.00 <br />Page 1 of 1 <br />