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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1992051 <br />Florence Sand & Gravel <br />000000000 <br />Receipt #: 20723 <br />Date: 12/21/2015 <br />Permit: M1992051 <br />Payment Method Revenue Code <br />Fee Description/Notes Amount <br />7603 bjc <br />4300-MSOO <br />Minerals Succession of Operators <br />M1992-051 Sheila Rodarmel for Florence Sand & Gravel <br />al:{ t -_, ` <br />c"= ?. <br />$144.00 <br />Receipt Total: I $144.00 I <br />_P71-1-111.171' �'N tai <br />Page 1 of 1 <br />