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Kristine M Couch <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1989023 <br />Receipt #: <br />Date: <br />Permit: <br />129 SMS 1 4300 -01 1 Minerals Annual Fees <br />M1989 -023 PAID BY COUCH FAMILY FARM LLC <br />16838 <br />02/12/2014 <br />M1989023 <br />$323.00 <br />Receipt Total: 1 $323.00 <br />Page 1 of 1 <br />