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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1983050 <br />Phillips County <br />000000000 <br />17483 14300-01 Minerals Annual Fees <br />M-1983-050 <br />Receipt #: 5136 <br />Date: 03/13/2009 <br />Permit: M1983050 <br />$323.00 <br />Receipt Total: $323.00 <br />Page 1 of 1