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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1984069 <br />Receipt #: <br />Date: <br />Permit: <br />10792 <br />06/17/2011 <br />M1984069 <br />rSchmalz Construction Ltd. <br />000000000 <br />12340-mr1 14300-01 1 Minerals Annual Fees <br />M-1984-069 <br />$323.00 <br />Receipt Total: $323.00 <br />Page 1 of 1