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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1995017 <br />Lee Roy and Marlene J Rothe <br />000000000 <br />Receipt #: 21108 <br />Date: 03/11/2016 <br />Permit: M1995017 <br />Payment Method Revenue Code <br />Fee Description/Notes Amount <br />7607 msr <br />4300-MAFO <br />Minerals Annual Fees <br />M-1995-017 <br />$323.00 <br />Receipt Total: <br />$323.00 <br />Page 1 of 1 <br />