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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1984040 <br />Larry L Chartier <br />Receipt #: 19938 <br />Date: 07/21/2015 <br />Permit: M1984040 <br />Payment Method <br />Revenue Code <br />Fee Description/Notes <br />Amo <br />Minerals Annual Fees <br />M1984-040 <br />' 11 <br />Receipt Total: 1 $32"0 <br />Page 1 of 1 <br />