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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1986076 <br />DGMC <br />000000000 <br />Receipt #: 20666 <br />Date: 12/04/2015 <br />Permit: M1986076 <br />Payment Method Revenue Code <br />Fee Description/Notes Amount <br />2601 bjc <br />4300-MAFO <br />Minerals Annual Fees 4 Succ.e'5iart oPOY.441Y- <br />e <br />M1986-076 paid by Michael K McClure for DGMC <br />$633.00 <br />Receipt Total: I $633.00 <br />sie <br />ISS s a_c_ <br />G3.3 <br />Page 1 of 1 <br />