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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M2013018 <br /> Receipt#: 23985 <br /> Pine Bluffs Gravel & Excavating, Inc. <br /> Tyler Kimzey Date: 08/08/2017 <br /> 600 Parson Street <br /> P.O. Box 609 Permit: M2013018 <br /> Pine Bluffs WY 820820000 <br /> T'irT1F-:;Check <br /> - <br /> Check#5221 4300-MAFO Minerals Annual Fees $791.00 <br /> User: sdt <br /> Due 6/26/17 <br /> Receipt Total: $791.00 <br /> Page 1 of 1 <br />