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Lake County <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1977459 <br />M11 IIIIIIIIIIII7 <br />Receipt #: <br />Date: <br />Permit: <br />i01:xN <br />07/06/2015 <br />M1977459 <br />1 090390 SDT 14300-MAFO I Minerals Annual Fees 1 $791.001 <br />M 1977-459 <br />Receipt Total: 1 $791.00 <br />Page 1 of 1 <br />