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Venable's Construction, Inc. r <br />000000000 <br />Fee Receipt for M2004043 <br />Division of Reclamation, Mining, and Safety <br />Receipt #: 11642 <br />°'bate: 10/19/2011 <br />Permit: M2004043 <br />Payment. Method <br />18762 <br />5700 <br />Description /Notes <br />Minerals Civil PenaltyNiolation Fines l� <br />M- 2004 -043, MV- 2011 -019 <br />Amount <br />$500.00 <br />Receipt Total: I $500.00 <br />Page 1 of 1 <br />