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Elam Construction, Inc. <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1999076 <br />10688 1 4300 -01 1 Minerals Annual Fees <br />M- 1999 -076, CMB <br />Receipt #: <br />Date: <br />Permit <br />15761 <br />08/08/2013 <br />M1999076 <br />$504.00 <br />Receipt Total: 1 $504.00 <br />Page 1 of 1 <br />