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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2014042 <br />Russell Painter <br />000000000 <br />Receipt #: 20721 <br />Date: 12/21/2015 <br />Permit: M2014042 <br />Payment Method Revenue Code <br />Fee Description/Notes Amount <br />25022 SDT <br />4300-MAFO <br />Minerals Annual Fees <br />M2014-042 <br />$86.00 <br />Receipt Total: I $86.00 <br />Page 1 of 1 <br />