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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1984108 <br />Western Gravel, Inc. <br />000000000 <br />Receipt #: 20675 <br />Date: 12/07/2015 <br />Permit: M1984108 <br />Payment Method <br />Revenue Code <br />FeeDescription/Notes <br />A <br />°tint' <br />18857 SDT <br />4300-MAFO <br />Minerals Annual Fees <br />M1984-108 <br />$323.00 <br />Receipt Total: <br />$323.00 <br />Page 1 of 1 <br />