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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2013018 <br />Pine Bluffs Gravel & Excavating, Inc. <br />1954 14300-01 1 Minerals Annual Fees <br />M- 2013 -018, CMB <br />Receipt #: <br />Date: <br />Permit: <br />14817 <br />03/19/2013 <br />M2013018 <br />$1,258.00 <br />Receipt Total: 1 $1,258.00 <br />Page 1 of 1 <br />