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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2000050 <br />Gail C. Allen and Millie J. Allen <br />000000000 <br />2159 <br />4300-01 <br />Minerals Annual Fees <br />M-2000-050, Paid By Donald R. Bain/Mark T. Bain <br />Receipt #: <br />Date: <br />Permit: <br />10093 <br />03/10/2011 <br />M2000050 <br />$350.00 <br />Receipt Total: $350.00 <br />Page 1 of 1