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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1986047 <br />Phillips County <br />17682 <br />000000000 <br />Revenue .. <br />4300-01 Minerals Annual Fees <br />M-1986-047 <br />Receipt #: <br />Date: <br />Permit: <br />5422 <br />04/16/2009 <br />M1986047 <br />$323.00 <br />Receipt Total: <br />$323.00 <br />Page 1 of 1