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Phillips County <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2004023 <br />IIIIIIIIIIIII] <br />Receipt #: 19628 <br />Date: 05/29/2015 <br />Permit: M2004023 <br />Receipt Total: 1 $791.00 <br />Page 1 of 1 <br />lia6ililL <br />'17-7 <br />34783 msr <br />4300-MAFO <br />Minerals Annual Fees <br />$791.00 <br />M2004-023 <br />Receipt Total: 1 $791.00 <br />Page 1 of 1 <br />