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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1991083 <br />Seifert Construction dba Seifert Enterprises, L <br />000000000 <br />Receipt #: 20497 <br />Date: 10/27/2015 <br />Permit: M1991083 <br />eitl[ethod <br />Revenue Code <br />Fee l escrlption/Notes <br />A <br />6537 SDT <br />4300-MAFO <br />Minerals Annual Fees <br />M1991-083 <br />$791.00 <br />Receipt Total: <br />$791.00 <br />Page 1 of 1 <br />