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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M2012016 <br /> Puckett Land Company Receipt 17703 <br /> Date: 06/27/2014 <br /> Permit: M2012016 <br /> 000000000 <br /> FVA2.11t,Met�.Oq Revenue Code a4L: tjLRpscription/Notes <br /> 202612 msr 4300-01 Minerals Annual Fees $504.00 <br /> M2012-016 <br /> Receipt Total: $504.00 <br /> Page 1 of 1 <br />