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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1986123 <br />Coulson Excavating Company <br />Receipt #: <br />Date: <br />4287 <br />000000000 <br />Permit: <br />10/29/2008 <br />M1986123 <br />pa??r ? o ` G3?e?? o o - f?cao o - Grp ? c?OGJ?? ?? <br />33613 4300-01 Minerals Annual Fees <br />M-1986-123, Paid By Coulson Excavating Co., Inc. $791.00 <br /> Receipt Total: $791.00 <br />Page 1 of 1