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Gail C. Allen and Millie J. Allen <br />000000000 <br />Division of Reclamation, Mining, and Safety <br />1 <br />Fee Receipt for M2000050 <br />Receipt #: 14460 <br />0015ate: 01/17/2013 <br />Permit: M2000050 <br />P%mlellt Meth Reven <br />cri mson /il <br />01111 <br />2974 jwd <br />4300 -01 <br />Minerals Annual Fees <br />M- 2000 -050, Paid By Mark T. Bain <br />$323.00 <br />Receipt Total: I $323.00 <br />Page 1 of 1 <br />