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Alpine Demolition, Inc. <br />000000000 <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2004022 <br />Receipt #: 12497 <br />Date: 03/14/2012 <br />Permit: M2004022 <br />Payment Method Revenue Code <br />Fee Description /Notes Amount <br />3322 jwd <br />4300 -09 <br />Minerals Succession of Operators <br />M- 2004 -022 <br />$144.00 <br />Receipt Total: I $144.00 <br />Page 1 of 1 <br />