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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1994096 <br />Glacier Rock Company <br />000000000 <br />5220 SDT 14300-MAFO I Minerals Annual Fees <br />M 1994-096 <br />Receipt #: <br />Date: <br />Permit <br />21292 <br />04/14/2016 <br />M1994096 <br />$791.00 <br />Receipt Total: 1 $791.00 <br />Page 1 of 1 <br />