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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1986102 <br />Collins Morehead, LLC <br />Dan Collins <br />1417 South Grandview Drive <br />Tempe AZ 852810000 <br />Receipt #: <br />Date: <br />Permit: <br />25472 <br />10/31/2017 <br />M1986102 <br />Page 1 of 1 <br />Check #2451 <br />4300-MAFO <br />Minerals Annual Fees <br />$323.00 <br />User: sdt <br />Due 914117 <br />Receipt Total: <br />$323.D0 <br />Page 1 of 1 <br />