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Phillips County <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2003024 <br />Receipt #: 17387 <br />Date: 05/09/2014 <br />Permit: M2003024 <br />Payment Method <br />Revenue Code <br />Fee Description /Notes <br />Amount'" <br />•• <br />is I <br />Minerals Annual Fees <br />00 <br />Receipt Total: $791.00 <br />Page 1 of 1 <br />