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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1990134 <br /> 11 James H & Kathleen H Ross Receipt#: 21314 <br /> Date: 04/18/2016 <br /> Permit: M1990134 <br /> 000000000 <br /> AmountPayment Method Revenue Code '!%e Description/Notes L <br /> 26263 SDT 4300-MAFO Minerals Annual Fees $323.00 <br /> M 1990-134 <br /> Receipt Total: $323.00 <br /> Page 1 of 1 <br />