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Wagner Construction Inc. <br />000000000 <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1999018 <br />Receipt #: 15026 <br />Date: 04/17/2013 <br />Permit: M1999018 <br />Payment Method <br />Revenue Code <br />Fee Description /Notes Amount <br />jwd <br />4300 -01 <br />Minerals Annual Fees <br />M- 1999 -018 <br />$323.00 <br />Receipt Total: I $323.00 <br />Page 1 of 1 <br />