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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1999063 <br />Luis M. Vasquez <br />Receipt #: 20241 <br />Date: 09/15/2015 <br />Permit: M1999063 <br />Payment Method <br />Revenue Code <br />Fee Description/Notes'' <br />Amount <br />Minerals Annual Fees <br />Receipt Total: 1 $323.00 <br />Page 1 of 1 <br />