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Sanborn Sand and Gravel /dba Golden Cross / <br />000000000 <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1984094 <br />Receipt #: 14042 <br />Date: 11/02/2012 <br />Permit: M1984094 <br />Payment Method <br />Revenue Code <br />A <br />Fee Description /Notes <br />aunt <br />3244 jwd <br />4300 -11 <br />Minerals Technical Revision <br />M- 1984 -094, Paid By Golden Cross Aggregates, Inc. <br />$216.00 <br />Receipt Total: I $216.00 <br />Page 1 of 1 <br />