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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1999073 <br />Evan L. Melby, Inc. <br />000000000 <br />12212 SXS 14300-01 1 Minerals Annual Fees <br />M1999-073 <br />Receipt #: <br />Date: <br />Permit: <br />16829 <br />02/11/2014 <br />M1999073 <br />$323.00 <br />Receipt Total: 1 $323.00 <br />Page 1 of 1 <br />