2014-07-01_REPORT - M2009093

• Permit No: M2009093
• IBM Index Class Name: Report
• Doc Date: 7/1/2014
• Doc Name: Annual Fee/Report/Map
• From: Theisen Mineral
• To: DRMS
• Permit Index Doc Type: Annual Fee/Report
• Email Name: MAC
• Media Type: D
• Archive: No

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Division of Reclamation, Mining, and Safety
Fee Receipt for M2009093&.
11 Theisen Mineral Receipt#: 17729
Date: 07/01/2014
Permit: M2009093
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8303 msr 4300-MAFO Minerals Annual Fees $323.00
M2009-093 paid by James J OR Suzanne M. Theisen
Receipt Total: $323.00
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