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Ralph Porco, Randy Porco <br />000000000 <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2004042 <br />Receipt #: 11314 <br />Date: 09/01/2011 <br />Permit: M2004042 <br />Payment Method Revenue Code Fee Description/Notes <br />Amount <br />4600 -mr1 <br />4300 -01 <br />Minerals Annual Fees <br />M- 2004 -042 <br />$323.00 <br />Receipt Total: I $323.00 <br />Page 1 of 1 <br />