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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1999003 <br />Seifert Construction <br />000000000 <br />Receipt #: <br />Date: <br />Permit: <br />10249 <br />04/01/2011 <br />M1999003 <br />26855 14300-01 1 Minerals Annual Fees <br />M-1999-003, Paid By Seifert Enterprises LLC <br />$323.00 <br />Receipt Total: $323.00 <br />Page 1 of 1 <br />