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Division of Reclamation, Mining, and Safety <br />Fee Receipt for Coal <br />Beckwith, James A <br />Visa 14400 1 Coal Copies <br />C-1981-041 <br />Receipt # <br />Date <br />Permit: <br />21251 <br />04/08/2016 <br />Coal <br />$19.75 <br />Receipt Total• $19.75 <br />Page 1 of 1 <br />