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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1989095 <br />Phillips County <br />000000000 <br />Receipt #: 20660 <br />Date: 12/02/2015 <br />Permit: M1989095 <br />�Pa! <br />merit <br />thod: <br />evenue;O <br />ee Descr <br />thou <br />100 SDT <br />4300-MAFO <br />Minerals Annual Fees <br />M1989-095 <br />$791.00 <br />Receipt Total: <br />$791.00 <br />Page 1 of 1 <br />