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Estate of Frank Laughrey <br />000000000 <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for k1991082 <br />3d l <br />Receipt #: 13819 <br />'Date: 10/02/2012 <br />Permit: M1991082 <br />Paymen <br />eth <br />Revenue Code <br />Fee C escription/Notes <br />A l <br />c ount <br />11069 jwd <br />4300 -01 <br />Minerals Annual Fees <br />M- 1991 -082, Paid By Material Management Co. <br />$323.00 <br />Receipt Total: I $323.00 <br />r f 2 / / ' <br />Page 1 of 1 <br />