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Lazy H Inc <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2015022 <br />aim <br />Receipt #: 19415 <br />Date: 04/28/2015 <br />Permit: M2015022 <br />.. <br />.. <br />1111 msr <br />4300 -MAPP <br />Minerals Application Fees <br />M2015 -022 paid by Lazy H Inc / Sandie or Bill Havengar <br />$898.00 <br />Receipt Total: $898.00 <br />I <br />Page 1 of 1 <br />