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Lincoln County <br />000000000 <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1977163SG <br />Receipt #: 13900 <br />Date: 10/12/2012 <br />Permit: M1977163SG <br />y <br />od <br />F <br />ote <br />re 1 <br />Revenue c <br />D crip#ioi <br />oun <br />21362 <br />4300 -01 <br />Minerals Annual Fees <br />M- 1977- 163SG, CMB <br />$791.00 <br />Receipt Total: I $791.00 <br />Page 1 of 1 <br />