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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M2004025 <br /> Farnsworth Construction and Gravel Compan Receipt#: 21327 <br /> Date: 04/21/2016 <br /> Permit: M2004025 <br /> 000000000 <br /> Payment Method Revenue Code Fee Description/Notes Amount <br /> 12644 SDT 4300-MAFO Minerals Annual Fees $323.00 <br /> M2004-025 <br /> Receipt Total: $323.00 <br /> Page 1 of 1 <br />