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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1984094 <br />Sanborn Sand and Gravel /dba Golden Cross / <br />5584 msr 1 4300 -MTRO I Minerals Technical Revision <br />M1984 -094 <br />Receipt #: <br />Date: <br />Permit: <br />18776 <br />01/13/2015 <br />M1984094 <br />$216.00 <br />Receipt Total: 1 $216.00 <br />Page 1 of 1 <br />