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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2003021 <br />Receipt #: <br />Date: <br />10176 <br />Ranch Land LLC dba Pioneer Sand Co Inc <br />Permit: <br />000000000 <br />77475 14300-01 1 Minerals Annual Fees <br />M-2003-021 <br />03/22/2011 <br />M2003021 <br />$791.00 <br />Receipt Total: $791.00 <br />Page 1 of 1 <br />