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B - Mining Company <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1986102 <br />111111111 <br />Receipt #: 18607 <br />Date: 12/02/2014 <br />Permit: M1986102 <br />O"ay"ment Method <br />Revenue Code <br />110111111111PW Fee Description/Notes <br />Amount'9V <br />2377 msr <br />4300 -MAFO <br />Minerals Annual Fees <br />$323.00 <br />M1986 -102 paid by Collins Moorehead LLC / Dan or Laurie <br />Collins <br />Receipt Total: $323.00 <br />Page 1 of 1 <br />