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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2O14OO5 <br />O'Rourke Excavating, Inc. <br />000000000 <br />Receipt #: 21142 <br />Date: 03/22/2016 <br />Permit: M2014005 <br />Payment Method Revenue Code <br />Fee Description/Notes Amount <br />1571 SDT <br />4300-MAFO <br />Minerals Annual Fees <br />M2014-015 - Paid By: O'Rourke Excavating, Inc. <br />$323.00 <br />Receipt Total: <br />$323.00 <br />Page 1 of 1 <br />