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Cooley & Sons Excavating, Inc. <br />000000000 <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2011034 <br />Receipt #: 12153 <br />Date: 01/20/2012 <br />Permit: M2011034 <br />Payment Method Revenue Code <br />Fee Description /Notes Amount <br />21013 <br />4300 -02 <br />Minerals Application Fees <br />M- 2011 -034 <br />$1,258.00 <br />Receipt Total: I $1,258.00 <br />Page 1 of 1 <br />