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Westley Potts <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1983030 <br />8196 14300-01 1 Minerals Annual Fees <br />M- 1983 -030, CMB <br />Receipt #: <br />Date: <br />Permit: <br />15320 <br />05/31/2013 <br />M1983030 <br />$86.00 <br />Receipt Total: 1 $86.00 <br />Page 1 of 1 <br />