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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1986102 <br />Collins Morehead, LLC <br />000000000 <br />Receipt #: 20496 <br />Date: 10/27/2015 <br />Permit: M1986102 <br />yrnent Method Revenue Codes ;} <br />D+ d lp <br />cion/Notes <br />A <br />ount <br />2286 SDT <br />4300-MAFO <br />Minerals Annual Fees <br />M1986-102 <br />$323.00 <br />Receipt Total: <br />$323.00 <br />Page 1 of 1 <br />