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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1990131 <br />Receipt #: <br />Date: <br />Permit: <br />4930 <br />02/16/2009 <br />M1990131 <br />r- <br />Ricky W. Mitchell <br />000000000 <br />12792 14300-01 1 Minerals Annual Fees <br />M-1990-131, Paid By Mitchell Sand & Gravel/ Kiowa Creek <br />Landscaping/ Rick or Elizabeth Mitchell <br />$323.00 <br />Receipt Total: $323.00 <br />Page 1 of 1