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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1984043 <br />Pelino, Inc. <br />Receipt #: 20029 <br />Date: 08/04/2015 <br />Permit: M1984043 <br />Payment Method <br />Revenue Code <br />Fee Description/Notes <br />Amount <br />Minerals Annual FeesII <br />M1984-043 <br />Receipt Total: 1 $791.00 <br />Page 1 of 1 <br />