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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2005033 <br />Coulson Excavating Company, Inc. <br />1 0111=11 <br />47602 SDT 14300-MAFO I Minerals Annual Fees <br />M2005-033 <br />Receipt #: <br />Date: <br />Permit: <br />20356 <br />10/05/2015 <br />M2005033 <br />$791.00 <br />Receipt Total: 1 $791.00 <br />Page 1 of 1 <br />