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Division of Reclamation, Mining, and SafetyFee Receipt for M1990144 <br />810250000COBoone <br />63985 Highway 96 ER. Lewis Fillmore Receipt #:12/15/201622663Date:M1990144Permit: <br />R. Lewis Fillmore <br />Fee Description/Paid By Other Entity/NotesRevenue CodePayment Method Amount <br />Check #1975 $791.004300-MAF0 Minerals Annual Fees <br />Due 06/15/15 <br />$791.00Receipt Total: <br />Page 1 of 1