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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1984094 <br />Sanborn Sand and Gravelidba Golden Cross) <br />000000000 <br />1617 SDT 14300-MAFO I Minerals Annual Fees <br />M1984-094 Playfair Land Company <br />Receipt #: <br />Date: <br />Permit: <br />19900 <br />07/16/2015 <br />M1984094 <br />$791.00 <br />Receipt Total: 1 $791.00 <br />Page 1 of 1 <br />