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1 <br />Sanborn Sand and Gravel /dba Golden Cross / <br />000000000 <br />J <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1984094 <br />Receipt #: 13081 <br />Date: 06/12/2012 <br />Permit: M1984094 <br />Payment Method Revenue Code <br />Fee Description /Notes Amount <br />1113 jwd <br />4300 -01 <br />Minerals Annual Fees <br />M- 1984 -094, Paid By Playfair Land Company LLC <br />$791.00 <br />Receipt Total: I $791.00 <br />Page 1 of 1 <br />