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Wilbur F Benham <br />000000000 <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1984039 <br />Receipt #: 13943 <br />Date: 10/16/2012 <br />Permit: M1984039 <br />:Payment Method t Revenue Code <br />Fe e Description /Notes <br />cunt <br />4350 jwd <br />4300 -12 <br />Minerals Temporary Cessation <br />M- 1984 -039, Paid By Randall Prust <br />$144.00 <br />Receipt Total: I $144.00 <br />Page 1 of 1 <br />