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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2010034 <br />Syzygy Enterprises LLC <br />000000000 <br />c o rta-- <br />Receipt #: 21248 <br />Date: 104/07/2016 <br />Permit: M2010034 <br />Payment Method Revenue Code Fee Description/Notes <br />Amount <br />1022 SDT <br />4300-MCNV <br />Minerals Conversions <br />M2010-034 - Paid By: Syzygy Enterprises, LLC -*Check Only* <br />$2,696.00 <br />Receipt Total: <br />$2,696.00 <br />Page 1 of 1 <br />