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O'Rourke Excavating, Inc. <br />000000000 <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2O12OO7 <br />Receipt #: 15098 <br />Date: 04/25/2013 <br />Permit: M2012007 <br />Payment Method Revenue Code Fee Description /Notes Amount <br />2153 <br />4300 -01 <br />Minerals Annual Fees <br />M- 2012 -007, CMB <br />$323.00 <br />Receipt Total: I $323.00 <br />Page 1 of 1 <br />