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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1979097 <br />Cottonwood Land and Farms, LLC <br />Receipt #: 17858 <br />Date: 07/22/2014 <br />Permit: M1979097 <br />Receipt Total: 1 $791.00 <br />Page 1 of 1 <br />4847 msr <br />4300 -MAFO <br />Minerals Annual Fees <br />M1979 -097 paid by Michael J. Hart dba Hart Environmental <br />$791.00 <br />Receipt Total: 1 $791.00 <br />Page 1 of 1 <br />