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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1984039 <br />Wilbur F Benham <br />000000000 <br />43360 jwd 4300 -01 1 Minerals Annual Fees <br />Receipt #: <br />Date: <br />Permit: <br />M- 1984 -039, Paid By Garrett Plumbing, Heating & Electric Co. <br />15236 <br />05/21/2013 <br />M1984039 <br />$259.00 <br />Receipt Total: 1 $259.00 <br />Page 1 of 1 <br />