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Hector Rodriguez <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1999062 <br />111111111 <br />Receipt #: 20242 <br />Date: 09/15/2015 <br />Permit: M1999062 <br />Payment Method <br />Revenue Code <br />Fee Description/Notes <br />Amount <br />004158 SDT <br />of I <br />Minerals Miscellaneous <br />M1999-062 <br />Receipt Total: I $323.001 <br />Page 1 of 1 <br />