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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1980049 <br />Donald R Hart <br />000000000 <br />Receipt #: 20992 <br />Date: 02/22/2016 <br />Permit: M1980049 <br />Payment Method Revenue Code <br />Fee Desc• <br />riiption!Notes <br />Amont, <br />4028 SDT <br />4300-MAFO <br />Minerals Annual Fees <br />M1980-049 <br />$323.00 <br />Receipt Total: <br />$323.00 <br />Page 1 of 1 <br />