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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1979097 <br />Cottonwood Land and Farms, LLC <br />4741 jwd 14300-01 1 Minerals Annual Fees <br />Receipt #: <br />Date: <br />Permit: <br />M- 1979 -097, Paid By Michael J. Hart dba Hart Environmental <br />15699 <br />07/31/2013 <br />M 1979097 <br />$791.00 <br />Receipt Total: 1 $791.00 <br />Page 1 of 1 <br />