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James H & Kathleen H Ross <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1990134 <br />111111111 <br />Receipt #: 19893 <br />Date: 07/15/2015 <br />Permit: M1990134 <br />Wayment Method <br />Revenue CIA <br />Fee Description/Notes <br />Amount <br />Minerals Technical Revision <br />M1990-134 <br />Receipt Total: 1 $216.00 <br />Page 1 of 1 <br />