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William & Beverly Caldwell and Albert & Lola I <br />000000000 <br />■ <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1997071 <br />Receipt #: 13227 <br />Date: 07/02/2012 <br />Permit: M1997071 <br />Payment Method Revenue Code Fee Description /Notes <br />ount <br />3847 jwd <br />4300 -01 <br />Minerals Annual Fees <br />M- 1997 -071, Paid By Bert Nesselhuf /Ellen Nesselhuf <br />$791.00 <br />Receipt Total: I $791.00 <br />Page 1 of 1 <br />