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Shipps Farms L.P. <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1978102 <br />Receipt #: <br />Date: <br />Permit: <br />1355 jwd 14300-01 1 Minerals Annual Fees <br />M- 1978 -102, Paid By JL Cozad Trucking /James L Cozad <br />15499 <br />07/02/2013 <br />M1978102 <br />$323.00 <br />Receipt Total: 1 $323.00 <br />Page 1 of 1 <br />