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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1981236 <br />Raymond C. Petersen <br />000000000 <br />Receipt #: <br />Date: <br />Permit: <br />19104 <br />03/13/2015 <br />M1981236 <br />Receipt Total: $791.00 <br />Page 1 of 1 <br />3331 msr <br />4300 -MAFO <br />Minerals Annual Fees <br />M1981-236 <br />$791.00 <br />Receipt Total: $791.00 <br />Page 1 of 1 <br />