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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2005033 <br />Coulson Excavating Company, Inc. <br />Receipt #: 18273 <br />Date: 09/26/2014 <br />Permit: M2005033 <br />r7lx . <br />45327 SMS <br />4300 -MAFO <br />Minerals Annual Fees <br />$791.00 <br />M2005 -033 <br />Receipt Total: 1 $791.00 <br />Page 1 of 1 <br />