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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1986123 <br />Coulson Excavating Company, Inc. <br />000000000 <br />45551 msr 1 4300 -MAFO I Minerals Annual Fees <br />M1986-123 <br />Receipt #: <br />Date: <br />Permit: <br />18494 <br />11/03/2014 <br />M 1986123 <br />$791.00 <br />Receipt Total: 1 $791.00 <br />Page 1 of 1 <br />