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Sako Excavation, LLC <br />000000000 <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1991146 <br />Receipt #: 14316 <br />Date: 12/24/2012 <br />Permit: M1991146 <br />Payment Method Revenue Code <br />Fee Description /Notes Amount <br />3643 <br />4300 -03 <br />Minerals Amendment Fees <br />M- 1991 -146, CMB <br />$827.00 <br />Receipt Total: I $827.00 <br />Page 1 of 1 <br />