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Elam Construction, Inc. <br />000000000 <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1979166 <br />Receipt #: 13619 <br />Bate: 09/04/2012 <br />Permit: M1979166 <br />Payment Method Revenue Code <br />ion /Notes <br />Amount <br />6930 jwd <br />4300 -01 <br />1nerals Annual Fees <br />M- 1979 -166 <br />$791.00 <br />Receipt Total: I $791.00 <br />Page 1 of 1 <br />