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Willits Company, Inc. <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2004017 <br />111111111 <br />Receipt #: 19780 <br />Date: 06/23/2015 <br />Permit: M2004017 <br />aa_ wT,0700• .Fee <br />Revenue Co&e _. <br />Description/Notes <br />Amount <br />018355 SDT <br />4300-MAFO <br />Minerals Annual Fees <br />M2004-017 <br />$791.00 <br />Receipt Total: $791.00 <br />Page 1 of 1 <br />