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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2002122 <br />Receipt #: <br />Date: <br />Permit: <br />8665 <br />07/26/2010 <br />M2002122 <br />Seifert Construction <br />?I <br />000000000 <br />125194 14300-01 I Minerals Annual Fees <br />M-2002-122, Paid By Seifert Trucking <br />$791.00 <br />Receipt Total: $791.00 <br />Page 1 of 1