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Margaret Hale <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2006032 <br />111111111 <br />Receipt #: 20562 <br />Date: 11/10/2015 <br />Permit: M2006032 <br />Payment Method <br />Revenue Code <br />Fee Description/Notes <br />Amount <br />Minerals Annual Fees <br />M2111-012 <br />Receipt Total: $791.00 <br />Page 1 of 1 <br />