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Seifert Construction <br />000000000 <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1993027 <br />Receipt #: 13808 <br />Date: 10/01/2012 <br />Permit: M1993027 <br />Pay <br />ent Method Revenue Code <br />Fe <br />Description /Notes <br />i ourt <br />1293, jwd <br />4300 -01 <br />Minerals Annual Fees <br />M- 1993 -027, Paid By Seifert Enterprises LLC <br />$323.00 <br />Receipt Total: I $323.00 <br />Page 1 of 1 <br />