2014-12-17_REVISION - M1994114

• Permit No: M1994114
• IBM Index Class Name: Revision
• Doc Date: 12/17/2014
• Doc Name: Conversion Application
• From: Kagan and Son, LLC
• To: DRMS
• Type & Sequence: CN1
• Email Name: TOD
• Media Type: D
• Archive: No

Division of Reclamation, Mining, and Safety
Fee Receipt for M1994114
Kagan & Son, L.L.C. Receipt#: 18667
Date: 12/18/2014
Permit: M1994114
000000000
2873 jwd 4300-MCNV Minerals Conversions $2,696.00
M-1994-114
Receipt Total: $2,696.00
Page 1 of 1