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Logan County <br />000000000 <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1999029 <br />Receipt #: 12987 <br />Date: 05/24/2012 <br />Permit: M1999029 <br />Payment Method Revenue Code Fee Descrip <br />ion /Notes Amount <br />90752 <br />4300 -01 <br />Minerals Annual Fees <br />M- 1999 -029, CMB <br />$323.00 <br />Receipt Total: I $323.001 <br />Page 1 of 1 <br />