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James H & Kathleen H Ross <br />000000000 <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1990134 <br />Receipt #: 12740 <br />Date: 04/17/2012 <br />Permit: M1990134 <br />Amount <br />Payment Method Revenue Code Fee Description /Notes <br />25025 jwd <br />4300 -01 <br />Minerals Annual Fees <br />M- 1990 -134, Paid By Bower Bros. Construction, Inc. <br />$323.00 <br />Receipt Total: I $323.00 <br />Page 1 of 1 <br />