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Jake Kauffman & Son, Inc. <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1999069 <br />Receipt #: 18758 <br />Date: 01/08/2015 <br />Permit: M1999069 <br />71124 msr 1 4300 -MAFO I Minerals Annual Fees 1 $791.00 <br />Receipt Total: 1 $791.00 <br />Page 1 of 1 <br />