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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1995017 <br />Lee Roy and Marlene J Rothe <br />Receipt #: <br />Date: <br />Permit: <br />10029 <br />03/02/2011 <br />M 1995017 <br />000000000 <br />5266 14300-01 1 Minerals Annual Fees <br />M-1995-017 <br />$323.00 <br />Receipt Total: $323.00 <br />Page 1 of 1 <br />