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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2011026 <br />Keyah Grande Lodge and Elk Ranch <br />000000000 <br />Receipt #: 20628 <br />Date: 11/24/2015 <br />Permit: M2011026 <br />Payment Method <br />Revenue Code <br />Fee Description/Notes <br />Amount <br />001216 SDT <br />4300-MAFO <br />Minerals Annual Fees <br />M2011-026 <br />$791.00 <br />Receipt Total: <br />$791.00 <br />Page 1 of 1 <br />