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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1986123 <br />Coulson Excavating Company <br />Receipt #: <br />Date: <br />Permit: <br />9207 <br />10/12/2010 <br />M1986123 <br />000000000 <br />37725 14300-01 1 Minerals Annual Fees <br />M-1986-123, Paid By Coulson Excavating Co., Inc. <br />$791.00 <br />Receipt Total: $791.00 <br />Page 1 of 1