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James VanElla <br />000000000 <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1992045 <br />Receipt #: 14218 <br />Date: 12/10/2012 <br />Permit: M1992045 <br />Payment Method Revenue Code Fee Description/Notes Amount <br />r <br />2432 jwd <br />4300 -01 <br />Minerals Annual Fees <br />M- 1992 -045 <br />$259.00 <br />Receipt Total: I $259.00 <br />Page 1 of 1 <br />