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RBK Construction, Inc. <br />000000000 <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1990106 <br />Receipt #: <br />Date: <br />Permit: <br />13957 <br />10/19/2012 <br />M1990106 <br />Payment Method Revenue Code <br />Fee Description /Notes <br />Amours <br />019208 jwd <br />4300 -01 <br />Minerals Annual Fees <br />M- 1990 -106 <br />$323.00 <br />Receipt Total: I $323.00 <br />Page 1 of 1 <br />