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Willits Company, Inc. <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2004017 <br />015706 jwd 14300-01 1 Minerals Annual Fees <br />M- 2004 -017 <br />Receipt #: <br />Date: <br />Permit: <br />15522 <br />07/03/2013 <br />M2004017 <br />$791.00 <br />Receipt Total: 1 $791.00 <br />Page 1 of 1 <br />