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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1983050 <br />Phillips County <br />000000000 <br />22782-mr1 I 4300-01 I Minerals Annual Fees <br />M-1983-050 <br />Receipt #: <br />Date: <br />Permit: <br />10123 <br />03/17/2011 <br />M1983050 <br />$323.00 <br />Receipt Total: $323.00 <br />Page 1 of 1