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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1979166 <br />Elam Construction, Inc. <br />000000000 <br />136180 SDT 14300-MAFO I Minerals Annual Fees <br />M1979-166 <br />Receipt #: <br />Date: <br />Permit: <br />20291 <br />09/23/2015 <br />M1979166 <br />$791.00 <br />Receipt Total: T $791.00 <br />Page 1 of 1 <br />