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Albert Frei & Sons Inc. <br />000000000 <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1977526 <br />Receipt #: 14343 <br />Date: 01/03/2013 <br />Permit: M1977526 <br />Payment Me <br />Revenue Code Fee Description/Notes Amoun <br />hod <br />6083 <br />4300 -11 <br />Minerals Technical Revision <br />M- 1977 -526, CMB <br />$216.00 <br />Receipt Total: I $216.00 <br />Page 1 of 1 <br />