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Florence Sand & Gravel <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1992051 <br />Receipt #: 17869 <br />Date: 07/23/2014 <br />Permit: M1992051 <br />Method, Payment <br />.. <br />wmwj,�, Fee Description/Notes <br />Amount <br />1315 msr <br />4300 -MAFO <br />Minerals Annual Fees <br />M1992 -051 <br />$791.00 <br />Receipt Total: <br />$791.00 <br />Page 1 of 1 <br />