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Larry L Chartier <br />000000000 <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1984040 <br />Receipt #: 13354 <br />Date: 07/20/2012 <br />Permit: M1984040 <br />Payment Method Revenue Code Fee Description /Notes <br />Amount <br />6383 jwd <br />4300 -01 <br />Minerals Annual Fees <br />M- 1984 -040, Paid By Chartier's Sand & Gravel /Larry L. Chartier <br />$323.00 <br />Receipt Total: I $323.00 <br />Page 1 of 1 <br />