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TA' <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1982075 <br />Oe <br />Alvin Mosch - Patricia Mosch <br />000000000 <br />Receipt #: <br />Date: <br />Permit: <br />12969 <br />05/22/2012 <br />M1982075 <br />Receipt Total: $518.00 <br />Page 1 of 1 <br />5525 <br />4300 -01 <br />Minerals Annual Fees <br />M- 1982 -075, CMB <br />$518.00 <br />Receipt Total: $518.00 <br />Page 1 of 1 <br />