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Wallace F. Burtis <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2001070 <br />8569 1 4300 -01 1 Minerals Annual Fees <br />M- 2001 -070, CMB <br />Receipt #: <br />Date: <br />Permit: <br />15753 <br />08/08/2013 <br />M2001070 <br />$259.00 <br />Receipt Total: 1 $259.00 <br />Page 1 of 1 <br />