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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1990094 <br />Parkerson Construction, Inc. <br />000000000 <br />Receipt #: 20510 <br />Date: 10/29/2015 <br />Permit: M1990094 <br />Payment Method <br />Revenue Code <br />Fee Description/Notes <br />Amount <br />28350 msr <br />4300-MAFO <br />Minerals Annual Fees <br />M1990-094 <br />$791.00 <br />Receipt Total: $791.00 <br />Page 1 of 1 <br />