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Rowe Gravel <br />000000000 <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1999038 <br />Receipt #: 13763 <br />Date: 09/24/2012 <br />Permit: M1999038 <br />xr ay <br />ent Metl od Revenue Code <br />F i ption/Note <br />A i <br />oon <br />2971 <br />4300 -01 <br />Minerals Annual Fees <br />M- 1999 -038, CMB <br />$323.00 <br />Receipt Total: I $323.00 <br />Page 1 of 1 <br />