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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1984039 <br /> Wilbur F Benham Receipt#: 21409 <br /> Wilbur Benham Date: 05/04/2016 <br /> 16417 KQNK Rd. Permit: M1984039 <br /> Box 66 <br /> Norton KS 676540000 <br /> Payment Method Revenue Code Fee Description/Notes Amount <br /> Check#1121 4300-MAFO Minerals Annual Fees $259.00 <br /> Receipt Total: $259.00 <br /> Page 1 of 1 <br />