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Garth Cooke <br />000000000 <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for P2012003 <br />Receipt #: 14994 <br />Date: 04/12/2013 <br />Permit: P2012003 <br />Payment Method Revenue Code <br />Fee Description /Notes <br />Amount <br />jwd <br />4300 -13 <br />NOI (Pros Annual Fee) <br />P- 2012 -003 <br />$86.00 <br />Receipt Total: I $86.00 <br />Page 1 of 1 <br />