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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M2002053 <br /> John R. Kurtzer Receipt#: 21136 <br /> Date: 03/21/2016 <br /> Permit: M2002053 <br /> 000000000 <br /> yment Method Revenue Code Fee Description/Notes Amount <br /> 13168 SDT 4300-MAFO Minerals Annual Fees $323.00 <br /> M2002-053 - Paid By: Richard Kurtzer- 201$.Annual Fees <br /> 13168 SDT 5700 Minerals Civil Penalty/Violation Fines $323.00 <br /> M2002-053 - Paid By: Richard Kurtzer- Civil Penalty Fee <br /> Receipt Total: $646.00 <br /> Page 1 of 1 <br />