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High Plains Stone Company <br />000000000 <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1990016 <br />Receipt #: 13191 <br />Date: 06/26/2012 <br />Permit: M1990016 <br />Payment Method Revenue Code <br />....._. �! � fee Description /Notes <br />A r <br />c ount <br />23355 <br />4300 -01 <br />Minerals Annual Fees <br />M- 1990 -016 <br />$323.00 <br />Receipt Total: I $323.00 <br />Page 1 of 1 <br />