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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M2004023 <br /> 01 Receipt#: 17552 <br /> Phillips County <br /> Date: 06/04/2014 <br /> Permit: M2004023 <br /> 000000000 <br /> MethodPayment <br /> Revenue Code Fee Description/Notes Amount <br /> 31898 SMS 4300-04 Minerals Conversions $2,696.00 <br /> M2004-023 <br /> Receipt Total: 1 $2,696.00 <br /> Page 1 of 1 <br />