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Glenn Southwick <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1986007 <br />111111111 <br />Receipt #: 19125 <br />Date: 03/17/2015 <br />Permit: M1986007 <br />Receipt Total: $323.00 <br />Page 1 of 1 <br />1921 msr <br />4300 -MAFO <br />Minerals Annual Fees <br />M1986-007 <br />$323.00 <br />Receipt Total: $323.00 <br />Page 1 of 1 <br />