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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2012013 <br />Smithburg Family Partnership, LLLP <br />Receipt #: 19917 <br />Date: 07/20/2015 <br />Permit: M2012013 <br />Payment Method <br />Revenue Code <br />Fee Description/Notes <br />Amount <br />Minerals Annual Fees <br />Receipt Total: $791.00 <br />Page 1 of 1 <br />