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Sanborn Sand and Gravelldba Golden Cross / <br />000000000 <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1984094 <br />Receipt #: 14688 <br />Date: 02/22/2013 <br />Permit: M1984094 <br />Payment Method Revenue Code Fee Description /Notes Amount <br />3266 <br />4300 -03 <br />Minerals Amendment Fees <br />M- 1984 -094, CMB <br />$2,229.00 <br />Receipt Total: I $2,229.00 <br />Page 1 of 1 <br />