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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1984013 <br /> George E. Otten Receipt#: 20648 <br /> Date: 11/30/2015 <br /> Permit: M1984013 <br /> 000000000 <br /> T !ht Method Revenue Code Fee Description/Notes Amount it <br /> 783 SDT 4300-MAFO Minerals Annual Fees $259.00 <br /> M1984-013 <br /> Receipt Total: $259.00 <br /> Page 1 of 1 <br />