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Mason A. King <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2004036 <br />2854 14300-01 1 Minerals Annual Fees <br />M- 2004 -036, CMB <br />Receipt #: <br />Date: <br />Permit: <br />15759 <br />08/08/2013 <br />M2004036 <br />$323.00 <br />Receipt Total: $323.00 <br />Page 1 of 1 <br />