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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2001017 <br />L. G. Everist, Incorporated <br />000000000 <br />Receipt #: <br />Date: <br />Permit: <br />20287 <br />09/23/2015 <br />M2001017 <br />payment Meth, Revenue Code �,��tee,- scription/Notes AmountM <br />200279 SDT <br />4300-MAFO <br />Minerals Annual Fees <br />$791.00 <br />M2001-017 <br />Receipt Total: $791.00 <br />Page 1 of 1 <br />