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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2003024 <br />Phillips County <br />000000000 <br />28596 jwd 4300 -01 1 Minerals Annual Fees <br />M- 2003 -024 <br />Receipt #: <br />Date: <br />Permit: <br />15191 <br />05/10/2013 <br />M2003024 <br />$791.00 <br />Receipt Total: 1 $791.00 <br />Page 1 of 1 <br />