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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1990131 <br />Ricky W. Mitchell <br />000000000 <br />Receipt #: <br />Date: <br />Permit: <br />02/21/2015 <br />M1990131 <br />"MUM. <br />:, � • <br />_... sm .._ ® ; <<x ,z t.;_ a .. _. <br />114363 msr <br />4300 -MAFO <br />Minerals Annual Fees <br />$323.00 <br />M1990 -131 paid by Mitchell Sand & Gravel/ Kiowa Creek <br />Landscaping <br />Receipt Total: 1 $323.00 <br />Page 1 of 1 <br />