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CRG Mining, LLC <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1987143 <br />111111111 <br />Receipt #: 19755 <br />Date: 06/19/2015 <br />Permit: M1987143 <br />Payment Method <br />Revenue Code <br />Fee Description/Notes <br />Amount <br />Minerals Technical Revision <br />M1987-143 <br />of <br />Receipt Total: $1,006.00 <br />Page 1 of 1 <br />