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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1996076 <br />Rudolph Fontanari <br />000000000 <br />Receipt #: 19366 <br />Date: 04/20/2015 <br />Permit: M1996076 <br />.. <br />..� <br />4272 msr <br />4300 -MAFO <br />Minerals Annual Fees <br />M1996 -076 paid by Western Slope Flagstone, LLC - Rudolph <br />Fontanari / Ethel Fontanari <br />$791.00 <br />Receipt Total: <br />$791.00 <br />Page 1 of 1 <br />