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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1991147 <br /> Belvedere Stone, LLC Receipt#: 18771 <br /> Date: 01/12/2015 <br /> Permit: M1991147 <br /> 000000000 <br /> Payment Method Revenue Code Fee Description/Notes Amount <br /> 1032 msr 4300-MAFO Minerals Annual Fees $323.00 <br /> M1991-147 <br /> Receipt Total: I $323.00 <br /> Page 1 of 1 <br />