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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2004025 <br />Farnsworth Construction and Gravel Compan <br />Receipt #: 19242 <br />Date: 04/01/2015 <br />Permit: M2004025 <br />Receipt Total: $323.00 <br />Page 1 of 1 <br />12121 msr <br />4300 -MAFO <br />Minerals Annual Fees <br />M2004 -025 <br />$323.00 <br />Receipt Total: $323.00 <br />Page 1 of 1 <br />