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Caldwell Brothers <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1986016 <br />3297 14300-01 1 Minerals Annual Fees <br />M- 1986 -016, CMB <br />Receipt #: <br />Date: <br />Permit: <br />15336 <br />06/04/2013 <br />M1986016 <br />$791.00 <br />Receipt Total: 1 $791.00 <br />Page 1 of 1 <br />