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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2011034 <br />Cooley & Sons Excavating, Inc. <br />000000000 <br />Receipt #: 21031 <br />Date: 02/25/2016 <br />Permit: M2011034 <br />Payment Method Revenue Code <br />�j�i rj� E , <br />Fee Description/Notes i ;i; Amount <br />26601 SDT <br />4300-MAFO <br />Minerals Annual Fees <br />M2011-034 (Past Due Annual fee - 2015) <br />$323.00 <br />Receipt Total: <br />$323.00 <br />Page 1 of 1 <br />