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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1995017 <br />Lee Roy and Marlene J Rothe <br />000000000 <br />7182 msr 1 4300 -MAFO I Minerals Annual Fees <br />M1995-017 <br />Receipt #: <br />Date: <br />Permit: <br />11/21/2014 <br />M 1995017 <br />$323.00 <br />Receipt Total: 1 $323.00 <br />Page 1 of 1 <br />