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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2004028 <br />Receipt #: <br />Date: <br />Permit: <br />10368 <br />04/18/2011 <br />M2004028 <br />rFebbraro Construction Co. <br />000000000 <br />10618 14300-04 1 Minerals Conversions <br />M-2004-028, Balance for Conversion Fee <br />$467.00 <br />Receipt Total: $467.00 <br />Page 1 of 1