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Hudick Excavating, Inc. <br />000000000 <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1985129 <br />Receipt #: 13965 <br />Date: 10/22/2012 <br />Permit: M1985129 <br />Aothod Revenue Code <br />Description/Notes <br />fi1unt <br />040809 <br />4300 -01 <br />Minerals Annual Fees <br />M- 1985 -129, CMB <br />$791.00 <br />Receipt Total: I $791.00 <br />Page 1 of 1 <br />