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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M2O13O18 <br /> Pine Bluffs Gravel & Excavating, Inc. Receipt#: 21690 <br /> Tyler Kimzey Date: 06/22/2016 <br /> 600 Parson Street <br /> P.O. Box 609 Permit: M2013018 <br /> Pine Bluffs WY 820820000 <br /> Payment Method ,_. .. Description/Notes <br /> Check#7022 4300-MAFO Minerals Annual Fees $791.00 <br /> Receipt Total: $791.00 <br /> Page 1 of 1 <br />