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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1984039 <br />Receipt #: <br />Date: <br />Permit: <br />10210 <br />03/28/2011 <br />M1984039 <br />Wilbur F Benham <br />000000000 <br />I4268-mrl 14300-01 I Minerals Annual Fees <br />M-1984-039 <br />$259.00 <br />Receipt Total: $259.00 <br />Page 1 of 1