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Benson Brothers <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2004084 <br />037224 SMS 14300-01 1 Minerals Annual Fees <br />M2004 -084 <br />Receipt # <br />Date <br />Permit: <br />17308 <br />04/29/2014 <br />M2004084 <br />$791.00 <br />Receipt Total: 1 $791.00 <br />Page 1 of 1 <br />