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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2002053 <br />John R. Kurtzer <br />000000000 <br />Receipt #: 21136 <br />Date: 03/21/2016 <br />Permit: M2002053 <br />Payment Method Revenue Code <br />Fee Description/Notes Amount <br />13168 SDT <br />4300-MAFO <br />Minerals Annual Fees <br />M2002-053 - Paid By: Richard Kurtzer - 20114Annual Fees <br />$323.00 <br />13168 SDT <br />5700 <br />Minerals Civil PenaltyNiolation Fines <br />M2002-053 - Paid By: Richard Kurtzer - Civil Penalty Fee <br />$323.00 <br />Receipt Total: <br />$646.00 <br />Page 1 of 1 <br />