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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1983164 <br /> George F. Gallegos Receipt#: 17990 <br /> Date: 08/11/2014 <br /> Permit: M1983164 <br /> 000000000 <br /> MethodPayment Revenue Code Fee Description/Notes Amount <br /> 6229 msr 4300-MAFO Minerals Annual Fees $791.00 <br /> M1983-164 <br /> Receipt Total: $791.00 <br /> Page 1 of 1 <br />