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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1986004 <br />Melvin J. Brandstadt <br />000000000 <br />Receipt #: 20805 <br />Date: 01/13/2016 <br />Permit: M1986004 <br />Payment Method <br />Revenue Code <br />Fee Description/Notes <br />Amount <br />1099 SDT <br />4300-MAFO <br />Minerals Annual Fees <br />M1986-004 <br />$323.00 <br />Receipt Total: <br />$323.00 <br />Page 1 of 1 <br />