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Environment, Inc. <br />000000000 <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2012023 <br />Receipt #: 12903 <br />Date: 05/11/2012 <br />Permit: M2012023 <br />Payment Method Revenue Code <br />Fee Description /Notes Amount <br />5099 <br />4300 -02 <br />Minerals Application Fees <br />M- 2012 -023, CMB <br />$2,696.00 <br />Receipt Total: I $2,696.00 <br />Page 1 of 1 <br />