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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1986033 <br />Sunnyside Gravel & Excavation <br />21372 <br />000000000 <br />Revenue 1Code F,! <br />4300-01 Minerals Annual Fees <br />M-1986-033 <br />Receipt #: <br />Date: <br />Permit: <br />10175 <br />03/22/2011 <br />M1986033 <br />$323.00 <br />Receipt Total: $323.00 <br />Page 1 of 1 <br />