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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1982011 <br />Jo Ann Vota <br />000000000 <br />1273 14300-01 1 Minerals Annual Fees <br />M- 1982 -011, CMB <br />Receipt #: <br />Date: <br />Permit: <br />15409 <br />06/18/2013 <br />M1982011 <br />$323.00 <br />Receipt Total: 1 $323.00 <br />Page 1 of 1 <br />