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V <br />TO: <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1986123 <br />Coulson Excavating Company, Inc. Receipt #: 19144 <br />Date: 03/18/2015 <br />Permit: M1986123 <br />000000000 <br />Payment Method <br />Revenue Code,,- <br />. , .,., ,�., FeerDescription /Notes <br />Amou <br />.• <br />11 '1 <br />Minerals Technical Revision <br />•:. •. • by • <br />NOTE: <br />Previously entered as M- 1983 -123; <br />original receipt #19082 deleted and <br />replaced by current Receipt #19144 <br />to reflect correct permit # - msr <br />Receipt Total: 1 $216.00 <br />Page 1 of 1 <br />