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000000000 <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1988081 <br />Receipt #: 13494 <br />Date: 08/10/2012 <br />Permit: M1988081 <br />Payrnent 14 etl od Revenue Code <br />*Fee DescnptionlNotes <br />At <br />on <br />2071 <br />4300 -01 <br />Minerals Annual Fees <br />M- 1988 -081, CMB <br />$86.00 <br />Receipt Total: I $86.00 <br />Page 1 of 1 <br />