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Michael Browning <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2003072 <br />111111111 <br />Receipt #: 18949 <br />Date: 02/21/2015 <br />Permit: M2003072 <br />.. TMIT-77'w 7 71 '. i <br />o'a <br />22387706640 m <br />4300 -MAFO <br />Minerals Annual Fees <br />M2003 -072 <br />$323.00 <br />Receipt Total: $323.00 <br />Page 1 of 1 <br />