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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1985040 <br />Receipt #: <br />Date: <br />Permit: <br />10774 <br />06/16/2011 <br />M1985040 <br />Seifert Construction <br />000000000 <br />27155 1 4300-01 1 Minerals Annual Fees <br />M-1985-040, Paid By Seifert Enterprises LLC <br />$791.00 <br />Receipt Total: $791.00 <br />Page 1 of 1