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John Crowley <br />000000000 <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for P2009004 <br />Receipt #: 13162 <br />Date: 06/22/2012 <br />Permit: P2009004 <br />Payment Method Revenue Code <br />Fee Description /Notes Amount <br />2857 <br />4300 -13 <br />NOI (Pros Annual Fee) <br />P- 2009 -004, CMB <br />$86.00 <br />Receipt Total: I $86.00 I <br />Page 1 of 1 <br />