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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1985112 <br />Loloff Construction, Inc. <br />000000000 <br />4008 jwd 14300-11 1 Minerals Technical Revision <br />M- 1985 -112, Paid By J &T Consulting, Inc. <br />Receipt #: <br />Date: <br />Permit: <br />15538 <br />07/08/2013 <br />M1985112 <br />$216.00 <br />Receipt Total: $216.00 <br />Page 1 of 1 <br />