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Lincoln County <br />000000000 <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1978078SG <br />c Ay/ <br />Receipt #: 14079 <br />Date: 11/13/2012 <br />Permit: M1978078SG <br />Payment Method Revenue Code <br />Fee Description /Notes Amount <br />21523 jwd <br />4300 -04 <br />Minerals Conversions <br />M- 1978 - 078 -SG, Balance Due <br />$352.00 <br />Receipt Total: 1 $352.00 <br />Page 1 of 1 <br />