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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1983037 <br />Louis M. Wyman <br />1107-mr1 <br />000000000 J <br />Revenue .. <br />4300-01 Minerals Annual Fees <br />M-1983-037 <br />Receipt #: <br />Date: <br />Permit: <br />10683 <br />06/02/2011 <br />M1983037 <br />$323.00 <br />Receipt Total <br />$323.00 <br />Page 1 of 1