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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1981309 <br />Mason King <br />000000000 <br />NI <br />Receipt #: <br />Date: <br />Permit: <br />18724 <br />01/05/2015 <br />M1981309 <br />Method Payment <br />Revenue Code <br />3282 msr <br />4300 -MAFO <br />Minerals Annual Fees <br />M1981-309 <br />$323.00 <br />Receipt Total-T. <br />$323.00 <br />Page 1 of 1 <br />