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Elam Construction, Inc. <br />000000000 <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1999076 <br />Receipt #: 13573 <br />Date: 08/27/2012 <br />Permit: M1999076 <br />Payment Method ; Revenue Code <br />Fee <br />ion /Notes Amoun <br />5999 <br />4300 -01 <br />Minerals Annual Fees <br />M- 1999 -076, CMB <br />$504.00 <br />Receipt Total: I $504.00 <br />Page 1 of 1 <br />