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Dilleys Sand & Gravel <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1986105 <br />111111111 <br />Receipt #: 20164 <br />Date: 09/01/2015 <br />Permit: M1986105 <br />IWIrnent Method <br />Rev ue Code <br />Fee Description/Notes <br />Amount <br />9 <br />Minerals Annual Fees <br />M1986-105 <br />Receipt Total: T $323.00 <br />Page 1 of 1 <br />