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Bridalveil Construction <br />000000000 <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2001054 <br />Receipt #: 14017 <br />Date: 10/30/2012 <br />Permit: M2001054 <br />Payment Method ' Revenue Code <br />e Descriptron/Notes <br />A i <br />ount <br />3546 <br />4300 -01 <br />Minerals Annual Fees <br />M- 2001 -054, CMB <br />$323.00 <br />Receipt Total: I $323.00 <br />Page 1 of 1 <br />